EP3982930A1 - Microemulsion compositions - Google Patents

Abstract

Provided are oil-in-water microemulsions for formulating pharmaceutically active compounds. The microemulsions contain oils, surfactants, water, and the pharmaceutical compounds, and are produced by mixing an aqueous phase and a lipid phase in which each phase contains at least one surfactant in a defined ratio whereby resulting microemulsion has very small dispersed particles, and, is thermodynamically very stable.

Description

Microemulsion Compositions

Field

Provided are oil-in-water microemulsions for formulating

pharmaceutical compositions. The microemulsions contain dispersed particles of a size < 30 nm. The microemulsions are for advantageous for ophthalmic indications.

Background

Pharmaceutically active substances useful for therapeutic applications generally are poorly soluble as well as unstable in aqueous solutions. Often these substances have been formulated in emulsions. One of the first examples of exploiting microemulsions for producing supply systems for poorly soluble active ingredients in the field of ophthalmology is represented by the work of Siebenbrodt and Keipert (Siebenbrodt I, Keipert S, Poloxamer-Systems as Potential Ophthalmics - II. Microemulsions, Eur. J. Pharm. Biopharm, 1993, 39:25-30). The authors studied microemulsions based on a non-ionic polymeric surfactant (poloxamer) and propylene glycol as a co-surfactant in a triacetin solution, with poorly water-soluble ingredients, such as active ingredients (indomethacin, diclofenac sodium and chloramphenicol) and water, obtaining spontaneous stable microemulsions, for surfactant concentrations of 15% and concentrations of propylene glycol of 40%.

Many emulsions, however, are not stable and/or have low bioavailability of the active substances. Formulations of active substances that are

characterized by chemical stability, biological safety, and advantageous bioavailability profiles are needed.

SUMMARY

Provided are oil-in-water microemulsions for formulating

pharmaceutically active compounds, particularly those with low aqueous solubility. The emulsions, which can be formulated for administration via a variety of routes and for a variety of uses, are particularly advantageous for ophthalmic applications. Also provided are the emulsions containing

pharmacologically active ingredients. The microemulsions provided herein have elevated stability, which allows long-term preservation, including at room temperature. Where the incorporated active ingredient is relatively unstable, the formulation in the microemulsion allows its structural integrity to be prolonged in time. The emulsions herein, not only have enhanced stability, but also confer for enhanced bioavailability of poorly water-soluble drugs in a liquid dosage form.

Hence, provided are microemulsions for administration of any

pharmaceutically active compound, particularly those not soluble in aqueous compositions. The microemulsions can be prepared to be administered by any route, including oral and parenteral, and are particularly suited for

administration of active compounds to the eye, and include ophthalmic compounds, for treatment of disorders, such as dry eye and age-related macular degeneration (AMD). The microemulsions are prepared by combining particular ratios of surfactants in the aqueous and lipid (lipophilic) phases, generally, but not limited to, two surfactants (a surfactant and co-surfactants) in each phase. When the aqueous and lipophilic phases are combined, the resulting

microemulsion forms. The resulting microemulsion has very small particles, less than 30 nm on average, generally less than or equal to 15 nm, and a very narrow distribution of particle sizes, generally about 15 ± lOnm . Among the resulting properties of the emulsions are increased thermal stability and high

bioavailability of any agent formulated in the emulsions compared to similar emulsions in the prior art.

Microemulsions provided herein are produced from: a lipid phase containing an oily component and surfactant(s) and co-surfactants(s); and an aqueous phase, also containing surfactant(s) and co-surfactants(s). To achieve the advantageous properties, including the small particle size, the following criteria are required:

1) when forming the microemulsions, the weight/volume ratio between the surfactants/co-surfactants in the lipid phase and the surfactants/co- surfactants in the aqueous phase, is from 2 to 10, such as 2.2 to 9.8 or 2.4 to 8.6; and 2) the weight/volume ratio between the oily component of the lipid phase and the surfactants/co-surfactants in the aqueous phase is from 0.2 to 1.0, such as 0.22 to 0.98 or 0.24 to 0.96; and

3) in the lipid phase, the weight/volume ratio between the oily

component and the mixture of the surfactants/co-surfactants in the lipid phase is from 0.05 to 1.4, such as 0.07 to 1.2 or 0.1 to 1.

When at least 1) and 2) of these criteria are met, the resulting microemulsion exhibits the advantageous properties, including the small particle size and the resulting high thermodynamic stability,

The microemulsions are used for formulating active substances, such as active small molecule drugs, for ophthalmic indications. The microemulsions also can be used to formulate active substances for oral administration or other routes of administration.

The surfactants/co-surfactants all can be the same, so that resulting microemulsion contains one a single surfactant. Generally, however, in preparing the microemulsions, each phase will contain at least one surfactant, and one co surfactant that is different from the surfactant. Both phases can contain the same surfactant and co-surfactant so that the resulting microemulsion has one surfactant and one co-surfactant. In other embodiments, two or three of the surfactants/co-surfactants can be the same in the lipid phase and aqueous phase, so that the resulting microemulsion contains two or three different surfactants, or all can be different, so the resulting microemulsion contains four different surfactants. The microemulsions can contain more than one surfactants and one co-surfactants in either phase when producing the microemulsions. Thus, two or three of the surfactants/co-surfactants can be the same in the lipid phase and aqueous phase, so that the resulting microemulsion contain two or three different surfactants, or all can be different, so the resulting microemulsion contains four different surfactants. The microemulsions can contain more than two surfactants/co-surfactants in either phase when producing the

microemulsions. The surfactant(s)/co-surfactant(s) can be different for the two phases so that, in a first instance, the resulting microemulsion can contain a minimum of one co-surfactant, the same for both phases, and a different surfactant for each of the two phases. In a second instance the lipid phase can contain two different surfactants, one of which can be the same as the one contained in the aqueous phase. Thus, for example the component surfactants and co-surfactants can be:

See also Table 1 below.

To produce the microemulsions with the properties described herein, the amounts of surfactant and co-surfactant must adhere to the ratios as described herein. It is the recited ratios, particularly 1) and 2), as set forth above, that result in a microemulsion with the advantageous properties, including small particle size and narrow particle size distribution. The surfactants/co- surfactants generally are non-ionic surfactants that are biocompatible and amenable to introduction into the eye.

In an exemplary embodiment, the microemulsion is composed of 0.4 -

4.0% (w/v) of an oily component, such as a natural vegetable oil, from the lipid phase, surfactants/co-surfactants from the lipid phase of 4.0% - 36.0% (w/v) of the resulting microemulsion, and surfactants/co-surfactants from the aqueous phase of 1.66% - 4.15%(w/v) of the resulting microemulsion. The remaining components of the composition is polar or aqueous ingredients, such as water, an active compound(s), and other components included in pharmaceutical compositions, such as thickeners, such as gums, tonicity adjusters, and a biocompatible acid to adjust the pH to about or between 5.0 and 8, inclusive, such as pH 5.4 or 7.5, or 6 to 7. The active ingredient can be included up to about 5% w/v (from 0.001 mg/ml to 50 mg/ml) of the resulting microemulsion.

Provided are pharmaceutical compositions that are microemulsions and contain active ingredients, such as a pharmaceutical agent that is poorly soluble in aqueous medium. The pharmaceutically active compounds include those for ophthalmic use. The amount of active compound depends upon the compound, and indication for which it is used. Exemplary of the range is 0.001 mg/ml to 50 mg/ml, or 0.01 mg/ml to 50 mg/ml, such as 0.01 mg/ml to 30 mg/ml.

The pharmaceutical compositions, contains: a) a lipid phase comprising an oily component and one or more surfactant(s) and, one or more co- surfactant(s), and b) an aqueous phase comprising one or more surfactant(s), and one or more co-surfactants, where: the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 2 to 10; the

weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.2 to 1.0; and in the resulting oil-in-water microemulsion, the average particle size is less than 30 nm. The composition optionally contains active ingredient, such as an active ingredient for ophthalmic. By virtue of the ratios and the

surfactant(s)/co-surfactant(s) in each phase, the resulting microemulsion composition has a narrow size distribution, generally the size distribution of particles in the resulting microemulsion is 15 nm ± 10 nm. The polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1. In some embodiments, the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive. In some embodiments, the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.22 to 0.98, inclusive or from 0.24 to 0.96, inclusive. In some embodiments, the weight/volume ratio between the oily component and the surfactant(s) and co-surfactant(s) is from 0.05 to 1.4, inclusive, such as, for example, from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive.

Exemplary of these microemulsion compositions is one that contains: an oil component in an amount that is between 0.4 - 4.0% (w/v), inclusive, of the composition; surfactant(s) and co-surfactant(s) of the lipid phase in an amount that is between 4.0% - 36.0% (w/v), inclusive, of the composition; and surfactant(s) and co-surfactant(s) of the aqueous phase in an amount that is between 1.66% - 4.15% (w/v), inclusive, of the composition.

Provided are oil-in-water microemulsion compositions, comprising: an oil component in an amount of 0.4 - 4.0% weight/volume (w/v) of the composition; a surfactant or a mixture of a surfactant(s) and co-surfactants(s) in an amount of 5.71-40.15% w/v, inclusive, of the composition; an aqueous component that is in an amount between 55.85%-93.89% w/v, inclusive, of the composition; and optionally a pharmaceutically active compound, where: all components of the composition are biocompatible; and the average particle size in the

microemulsion composition is less than 30 nm. As above, the distribution of particle size is narrow, generally 15 nm ± 10 nm. The polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1. The oil-in-water microemulsions can contain a pharmaceutically active compound. The amount of pharmaceutically active compound can depend upon the compound and indication for which it is intended. Generally, the concentration is 0.001 mg/ml to 50 mg/ml, or 0.01 mg/ml to 50 mg/ml, or 0.01 mg to 0 mg/ml, such as 0.01 mg/ml to 30 mg/ml.

The oil-in-water microemulsion compositions are formed from: a lipid phase comprising the oily component, and one or more surfactant(s), and optionally one or more co-surfactants(s); and an aqueous phase comprising one or more surfactant(s), and one or more co-surfactants (s), where: the

weight/volume ratio between surfactant(s) and co-surfactants(s) in the lipid phase to surfactant(s) and co-surfactants (s) in the aqueous phase is from 2 to 10, inclusive; and the weight/volume ratio between the oily component of the lipid phase and the surfactant(s) and co-surfactants in the aqueous phase is from 0.2 to 1.0, inclusive. In some embodiments, the weight/volume ratio between surfactant(s) and co-surfactants(s) in the lipid phase to the surfactant(s) and co- surfactants(s) in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive; and the weight/volume ratio between the oily component in the lipid phase and the surfactant(s) and co-surfactants in the aqueous phase is from 0.22 to 0.98, inclusive, or from 0.24 to 0.96, inclusive. In other embodiments, in the lipid phase, the weight/volume ratio between the oily component and the

surfactant(s) and co-surfactants (s) is from 0.05 to 1.4, inclusive, such as, for example, is from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive. Generally each phase contains one surfactant and one co-surfactant. Upon mixing in the ratios described herein, they form a microemulsion in which the average particle size is less than 30 nm. Generally the particles have a narrow size distribution of 15 nm ± 10 nm. The resulting microemulsions have polydispersity index (PDI) generally is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1.

Compositions provided herein include those where the micellar dimension of the dispersed phase particles is approximately or is 15 ± 10 nm; and the

polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.380, or is less than 0.2 or less than 0.12 or less than 0.1.

All of the compositions provided herein can be used for formulation of pharmaceutical agents for treatment of diseases and disorders, such as ophthalmic conditions or disorders. For ophthalmic use, the ingredients should be selected to be compatible with or suitable for administration to the eye. In the compositions, each of the surfactant(s) and/or co-surfactant(s) can be non-ionic. In all of the compositions the HLB of each of the surfactants and co-surfactants can be between 8-16, inclusive, such as where the HLB of each of the surfactants and co-surfactants at least 10, such as 10-16, or 12-14. In some embodiments, the compositions contain one surfactant and a co-surfactant, or two surfactants and one co-surfactant, or two surfactants and two co-surfactants. In some embodiments, the compositions are formed from a lipid and aqueous phase in which the surfactant is the same so that the resulting microemulsion contains one surfactant, and generally one or two co-surfactants. In other embodiments, the surfactant in each phase is different. In some embodiments, the compositions are formed from a lipid and aqueous phase in which the aqueous phase contains a surfactant and a co-surfactant, and the lipid phase contains a surfactant and a co-surfactant. The co-surfactant in each phase can be the same or different.

In general each phase from which the microemulsion is formed contains one surfactant and one co-surfactant. The surfactants and co-surfactants can be the same or different. For example, in one embodiment the lipid phase contains Tween 80/propylene glycol as the surfactant/co-surfactant, and the aqueous phase contains Kolliphor RH40/propylene glycol.

Surfactants can be selected from among, for example, poloxamers, PEGylated fatty acids, polyoxyethylenes, polyoxyethylene sorbitan fatty acid derivatives, polyoxyethylenes, hydrogenated castor oil ethoxylates, glycerol esters of fatty acids, PEGylated fatty acids, polyoxyl castor oil surfactants, poloxamers, amine oxides, and alcohol ethoxylates (non-ionic). Exemplary of these are polyethylene glycol sorbitan monolaurate (polysorbate 20; TWEEN 20), polyethylene glycol sorbitan monooleate (polysorbate 80; TWEEN 80), and polyethylene glycol sorbitan monopalmitate (polysorbate 40; MONTANOX 40. In other embodiments the surfactants are selected from among polyoxyl 35 castor oil (CREMOPHOR EL, KOLLIPHOR EL), polyoxyl 40 hydrogenated castor oil (CREMOPHOR RH40; KOLLIPHOR RH 40), PEG 40 castor oil (ETOCAS 40), PEG- 60 hydrogenated castor oil (CRODURET 60), and polyethylene glycol 15- hydroxystearate (KOLLIPHOR HS 15).

The surfactants can be non-ionic. For example, non-ionic surfactants can be selected from among Pluronic®, Cremophor®, Kolliphor®, Polysorbates (Tween™), lauryl dimethyl ammine oxide, polyethoxylated alcohol, polyoxyl lauryl ether, Brij®, polyoxyethylated castor oil, lecithin, poloxamers,

polyethylene glycol, glycerol esters of fatty acids. In some embodiments the surfactants are selected from among castor oil or hydrogenated castor oil ethoxylates. Co-surfactants include glycerol and/or propylene glycol. For example, each phase can include the same or different co-surfactant. The lipid phase contains an oil, which can be selected from among one or more of vegetable or animal oils or synthetic mineral oils. In some embodiments the oils are vegetable or animal oils selected from among soya oil, corn oil, linseed oil, sunflower seed oil, krill oil, cod-liver oil, fish oil, avocado oil, almond oil, babassu oil, borage oil, carob oil, cashew nut oil, grapeseed oil, coconut oil, oryza sativa bran oil, castor oil, hemp seed oil, jojoba oil, peanut oil, poppy seed oil, sesame oil, walnut oil, olive oil, wheat-germ oil, argan oil, cottonseed oil, blackcurrant seed oil, oils rich in PUFAs by a fraction greater than 10%. In other embodiments the oil can be a mineral oil of synthetic origin selected from esters of medium and long-chain fatty acids, and medium and long-chain triglycerides.

Other ingredients in the compositions include one or more of an isotonizing (tonicity) agent, stabilizing agent, anti-oxidant, anti-microbial, thickening agent, and branched and linear polymers.

The compositions can contain one or more pharmaceutically active ingredients. The one or more active ingredients are present at a suitable concentration for use or storage. Concentration ranges include, but are not limited to, from 0.01 to 50 mg/ml, inclusive, or 0.01 to 30 mg/ml.

The compositions can be formulated with the pharmaceutically active ingredient, in the lipid phase, if the ingredient is non-polar, or in the aqueous phase, if it is polar. Exemplary of the pharmaceutically active ingredients are one or more gastrointestinal agents, antispasmodics, blood sugar regulators, nutraceuticals/minerals/ electrolytes, platelet modifying agents, coagulants, cardiovascular agents, alpha-adrenergic agonists/ alpha-adrenergic antagonists/ vasodilators/ arterial vasodilators, carbonic anhydrase inhibitor diuretics/ loop diuretics/ potassium-sparing diuretics/ thiazide diuretics, other cardiovascular agents, beta-adrenergic antagonists, calcium channel blockers, angiotensin converting enzyme inhibitors (ACE), dyslipidemics/ HMG CoA Reductase inhibitors (Statins), anti-fungals, dermatological agents, anti-histamines, anesthetics, anti-bacterials, hormone-stimulating agents/ substituents/ modifiers (adrenals, pituitary and sex hormones), glycemic agents, hormone suppressing agents (parathyroids), anti-mycobacterials, anti-virals, anti- neoplasties, immunomodulators, anti-inflammatory agents, analgesics, anti convulsants, anti-Parkinson agents, anti-psychotics, anti-depressants/ anti dementia agents/ anti-anxiety medication, anti-myasthenic agents/ agents for treating substances of abuse/ central nervous system agents, bronchodilators/ sympathomimetics/ anti-cholinergics/ inhaled corticosteroids/

phosphodiesterase inhibitors/ airborne disorders, other agents of the respiratory tract, anti-parasites, anti-glaucoma ophthalmic agents, other ophthalmic agents/ anti-allergic ophthalmic agents, ophthalmic anti

inflammatories, prostaglandin analogues and ophthalmic prostamides, drugs for acidity-related disorders (A02), drugs for gastrointestinal function disorders (A03), drugs used for diabetes (A10), vitamins (All), mineral supplements (A12), antithrombotic agents (B01), anti-hemorrhagics (B02), cardiac therapy drugs (C01), anti-hypertensives (C02), diuretics (C03), peripheral vasodilators (C04), vasoprotectives (C05), beta-blocking agents (C07), calcium-antagonists (C08), drugs acting on the renin-angiotensin system (C09), lipid-lowering drugs (C10), anti-fungals for dermatological use (D01), emollients and protectives (D02), drugs for injuries and ulcers (D03), antipruritics, including anti histamines, anaesthetics (D04), anti-psoriasis drugs (D05), antibiotics and chemotherapeutic agents for dermatological use (D06), antiseptics and disinfectants (D08), hyphophyseal, hypothalamic hormones and similar (HOI), systemic corticosteroids (H02), thyroid therapy (H03), pancreatic hormones (H04), homeostatic calcium (H05), anti-bacterials for systemic use (J01), anti- mycotics for systemic use (J02), anti-mycobacterials (J04), anti-viral drugs for systemic use (J05), immune serums and immunoglobulins (J06), anti-neoplastic agents (L01), endocrine therapy (L02), immunostimulants (L03),

immunosuppressants (L04), anti-inflammatories and anti-rheumatics (M01), topical products for joint and muscle pain (M02), anesthetics (N01), analgesics (N02), anti-epileptics (N03), anti-parkinsonians (N04), psycholeptics (N05), psychoanaleptics (N06), other nervous system drugs (N07), rhinologic preparations (R01), preparations for the pharyngeal cavity (R02), drugs for obstructive disorders of the respiratory tract (R03), preparations for coughs and colds (R05), anti-histamines for systemic use (R06), other preparations for the respiratory system (R07), anti-infectives (S01A), anti-inflammatory agents (S01B), anti-inflammatory agents and anti-infectives combined (S01C), anti glaucoma agents and miotics (S01E), mydriatics and cyclopegics (S01F), decongestants and anti-allergens (S01G), local anaesthetics (S01H), diagnostic agents (S01J), surgical aids (S01K), ocular vascular agents (S01L), anti-infectives (S03A), corticosteroids (S03B), and corticosteroids combined with anti- infectives combined (S03C).

In particular embodiments the compositions are formulated for ophthalmic administration, and contain one or more active ingredients are for treating ophthalmic conditions or disorders. Such conditions and disorders, include, but are not limited to, among dry eye, macular degeneration, glaucoma, infection, inflammation, allergy and diabetic retinopathy. Exemplary of the pharmaceutically active agents is a prostaglandin inhibitor, an anti-angiogenic, and/or an anti-oxidant. Such agents include, a prostaglandin inhibitor selected from among latanoprost, travoprost, bimatoprost, unoprostone, and

pharmaceutically acceptable derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof, and/or an anti- angiogenic agent selected from among sorafenib, sorafenib tosylate, regorafenib, regorafenib tosylate, regorafenib isethionate, regorafenib, ethylsulfonate a- premilast, radotinib, spironolactone, and pharmaceutically acceptable

derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof; and/or an anti-oxidant selected from among

nordihydroguaiaretic acid, meso-nordihydroguaiaretic (masoprocol) and pharmaceutically acceptable derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof.

The compositions can be used or methods of treatment of diseases and disorders by administering the composition by a suitable route. The

compositions provided herein can be used for treating ophthalmic disorders. Provided are methods of treatment of an ophthalmic disorder by administering a composition to the eye. Ophthalmic disorders or conditions, include, but are not limited to, dry eye, macular degeneration, glaucoma, infection, inflammation, allergy and diabetic retinopathy. Pharmaceutical agents for such uses include, for example, masoprocol, sorafenib tosylate, and latanoprost.

Methods for preparing the microemulsion compositions are provided.

One method includes the steps of: a) preparing the lipid phase, where a mixture of surfactants/co-surfactants is solubilized in oil, mixing from 1 to 10 parts of the mixture for each oil part; b) preparing the aqueous phase, where one or more of a surfactant and/or co-surfactants is solubilized in water; c) titrating the lipid phase with the aqueous phase to obtain microemulsion, where: 0.4 - 4.0%

(w/v) of the microemulsion is composed of the oil component of the lipid phase; 4.0% - 36.0% (w/v) of the microemulsion is composed of the surfactants/co surfactants of the lipid phase; and 1.66% - 4.15% (w/v) of the total

surfactants/co-surfactants are the surfactants/co-surfactants of the aqueous phase. In another method the steps include: a) preparing the lipid phase, which can include a pharmaceutically active agent, and in which a mixture of

surfactants/co-surfactants is solubilized in oil, mixing from 1 to 10 parts of the mixture for each oil part; b) preparing the aqueous phase, where one or more of a surfactant and/or co-surfactants is solubilized in water; c) titrating the lipid phase with the aqueous phase to obtain a microemulsion, where: 0.4 - 4.0% (w/v) of the microemulsion is composed of the oily component of the lipid phase; 4.0% - 36.0% (w/v) of the microemulsion is composed of the

surfactants/co-surfactants of the lipid phase, and 1.66% - 4.15% (w/v) of the microemulsion is composed of surfactants/co-surfactants of the aqueous phase. The pharmaceutically active agent is included in an amount of at or about 0.001 mg/ml to 50 mg/ml, or 0.01 mg/ l to 50 mg/ml, such as 0.01 mg/ml to 30 mg/ml of the final composition.

Pharmaceutically active agents included or added to the compositions include any suitable for treatment of a particular disorder, including any listed herein above and below. In accord with the methods, titration rate is described by the following equation: where V_tit=titration speed in ml x min-1, k=2 ml x min-1, and V_tot=total volume of the formulation in ml. The resulting microemulsion compositions are those in which the dispersed particles in the resulting microemulsion have an average size < 30 nm, generally a size distribution of the particles is 15 nm ±10 nm, and/or a polydispersity index (PDI) is less than 0.380, or is within the range of 0.01-0.380, inclusive, or 0.01- 0.20, inclusive, or 0.01 to 0.15, inclusive, or less than 0.2 or 0.1. Provided are microemulsion compositions prepared by any of the methods described above or below.

In other methods, the microemulsion compositions are prepared by a method that includes: a) preparing a lipid phase comprising an oil component and one or more surfactant(s) and, one or more co-surfactant(s), and b) an aqueous phase comprising one or more surfactant(s), and one or more co- surfactants, where: the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 2 to 10; the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.2 to 1.0; and, then c) combining lipid phase with the aqueous phase to form an oil-in-water microemulsion in which the average particle size in the is less than 30 nm. Step c) can be effected by titrating the lipid phase with the aqueous phase, where the titration rate is described by the following equation: where

speed in ml x min-1, k=2 ml x min-1, and V_tot=total volume of the formulation in ml.

In these methods, the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive.

The aqueous phase can contain one surfactant and one co-surfactant. In some embodiments the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.22 to 0.98, inclusive or from 0.24 to 0.96, inclusive. In other embodiments, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co-surfactant(s) is from 0.05 to 1.4, inclusive. In other embodiments in the lipid phase, the

weight/volume ratio between the oily component and the surfactant(s) and co- surfactant(s) is from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive. The size distribution of particles in the resulting microemulsion generally is 15 nm ± 10 nm, and the polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1. Microemulsion compositions prepared by any of the methods described herein are provided.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1 is a schematic representation of the microemulsion platform provided herein.

Figure 2 depicts a diagram of the process for preparing the

microemulsions provided herein.

Figures 3A-3D depict stability data after stress tests carried out on illustrative formulations of the microemulsions provided herein. For example, Figure 3A shows the pH data. Figure 3B depicts the osmolality. Figure 3C depicts the average particle distribution (size). Figure 3D depicts the Zeta potential (pZ ).

Figures 4A and 4B depict the average particle distribution diagrams for formulations 1-(A) and 5-(B). Figure 4A depicts the average particle distribution diagram for formulation 1-(A). Figure 4B depicts the average particle

distribution diagram for formulation 5-(B).

Figures 5A-5D depict the stability data at 6 months of an illustrative formulation of the microemulsions provided herein. For example, Figure 5A shows the osmolality data. Figure 5B depicts the pH data. Figure 5C depicts the average particle distribution (size). Figure 5D depicts the Zeta potential (pZ).

Figures 6A-6C depict the stability data of the average particle distribution (size) and the polydispersity index (PDI) at different temperatures, and at different times, of an illustrative formulation of the microemulsions provided herein. Figure 6A depicts the stability data at 25 °C. Figure 6B depicts the stability data at 40 °C. Figure 6C depicts the stability data at 60 °C. Figures 7A-7D depict the stability data after stress tests carried out on illustrative formulations of the microemulsions provided herein. For example, Figure 7 A shows the pH data. Figure 7B depicts the average particle distribution (size). Figure 7C depicts the polydispersity index (PDI). Figure 7D depicts the Zeta potential (pZ).

Figures 8A-8E depict the stability data after stress tests carried out on illustrative formulations of the microemulsions provided herein. For example, Figure 8A shows the pH data. Figure 8B depicts the average particle size (size). Figure 8C depicts the polydispersity index (PDI). Figure 8D depicts the osmolality. Figure 8E depicts the Zeta potential (pZ).

Figures 9A-9E depict the stability data after stress tests carried out on illustrative formulations of the microemulsions that contain an active ingredient, such as latanoprost. For example, Figure 9A shows the pH data. Figure 9B depicts the osmolality. Figure 9C depicts the average particle distribution (size). Figure 9D depicts the Zeta potential (pZ). Figure 9E depicts the recovery.

Figures 10A-10E depict the stability data at 24 months of an illustrative formulation of the microemulsions that contain an active ingredient, such as latanoprost. For example, Figure 10A shows the pH data. Figure 10B depicts the osmolality. Figure 10C depicts the average particle distribution (size). Figure 10D depicts the Zeta potential (pZ). Figure 10E depicts the recovery.

Figures 11A-11D depict the stability data of the average particle distribution (size) and the polydispersity index (PDI) at different temperatures, and at different times, of an illustrative formulation of the microemulsions that contain an active ingredient, such as latanoprost. Figure 11A depicts the stability data at 25 °C. Figure 11B depicts the stability data at 40 °C. Figure 11C depicts the stability data at 60 °C. Figure 11D depicts the stability data at 4 °C.

Figures 12A-12E depict the stability data at 3 and 9 months of illustrative formulations of the microemulsion that contain an active ingredient, such as masoprocol. For example, Figure 12A shows the pH data. Figure 12B depicts the osmolality. Figure 12C depicts the average particle distribution (size). Figure 12D depicts the Zeta potential (pZ). Figure 12E depicts the recovery. Figures 13A-13E depict the stability data at 3 months and at different conditions, 25±2°C/60±5% RH and 40±2°C/75±5 RH, of illustrative formulations of the microemulsions provided herein that contain an active ingredient, such as sorafenib tosylate. For example, Figure 13A shows the pH data. Figure 13B depicts the average particle distribution (size). Figure 13C depicts the

polydispersity index (PDI). Figure 13D depicts the Zeta potential (pZ). Figure 13E depicts the recovery.

Figure 14 depicts the efficacy of microemulsion containing latanoprost 0.005% (formulation 03), compared to a standard solution of latanoprost 0.005% (Solution), in EVC rats treated topically (6 days, once a day, 12 ml).

Statistical analyses were performed using the Student t-test.

Figures 15A and 15B depict the gene expression of TNFa (murine tumor necrosis factor-a) and iNos in IR rat retinas pretreated topically 2 days and lh before inducing IR with microemulsions alone or containing masoprocol 0.302% (formulation 1, formulation 04; and formulation 6 or formulation 06) and sacrificed 6h after the ischemic episode. Figure 15A depicts the gene expression data after pretreatment with formulation 1 or formulation 04. Figure 15B depicts the gene expression data after pretreatment with formulation 6 or formulation 06. The data represents the average ± SEM of the Fold Change in relation to the calibrator (CTRL NAIVE). #p<0.05, ##p<0.01 vs. formulation 1 (Fig. 15A) and formulation 6 (Fig. 15B). *p<0.05, ****p<0.0001 vs. CTRL NAIVE (Fig. 15A and Fig. 15B). One-way ANOVA followed by Dunnett's post-hoc test.

Figures 16A and 16B depict the gene expression of TNFa and iNos in IR rat retinas pretreated topically 2 days and lh before inducing IR with

microemulsions alone or containing sorafenib tosylate 0.300% (formulation 2, formulation 05; formulation 7 or formulation 07) and sacrificed 6h after the ischemic episode. Figure 16A depicts the gene expression data after

pretreatment with formulation 2 or formulation 05. Figure 16B depicts the gene expression data after pretreatment with formulation 7 or formulation 07. The data represents the average ± SEM of the Fold Change in relation to the calibrator (CTRL NAIVE). #p<0.05, ##p<0.01, ###p<0.001 vs. formulation 2 (Fig. 16 A) and formulation 7 (Fig. 16B). *p<0.05, ***p<0.001, ****p<0.0001 vs. CTRL NAIVE (Fig. 16A and Fig. 16B). One-way ANOVA followed by Dunnett's post-hoc test.

Figure 17 depicts an analysis of the neovascularization areas in CNV mice pretreated topically for three days before inducing CNV and for the following 7 days with formulation 1 or formulation 04 containing masoprocol 0.302% (formulation 04). The data is represented as the average ± SEM in relation to formulation 1. *p=0.0395 vs. formulation 1. Images representative of choroidal neovascularization (CNV) in animals treated with formulation 1 or formulation 04 are shown at a side. The scale bar represents 100 pm.

Figures 18A and 18B depict an analysis of the neovascularization areas in CNV mice pretreated topically for three days before inducing CNV and for the following 7 days with microemulsions alone or containing sorafenib tosylate 0.300% (formulation 2, formulation 05; formulation 7, formulation 07). Figure 18A depicts the data after pretreatment with formulation 2 or formulation 05. Figure 18B depicts the data after pretreatment with formulation 7 or

formulation 07, The data is represented as the average ± SEM in relation to formulation 2 (Fig. 18A) or 7 (Fig. 18B), respectively. *p=0.0135 vs. formulation 2 (Fig. 18A); *p=0.0001 vs. formulation 7 (Fig. 18B). Images representative of CNV in animals treated with formulation 2, formulation 05, formulation 7 or formulation 07 are shown at a side. The scale bar represents 100pm.

Figures 19A-19F depict the gene expression of TNFa, NFKB, IGFl, IGFR1, VEGFR1 and VEGFR2 in Ctrl- rat retinas, diabetic (STZ) and diabetic treated b.i.d. topically for 21 days with microemulsion containing masoprocol 0.302%

(formulation 04) or microemulsion containing sorafenib tosylate 0.300%

(formulation 05). Figure 19A depicts the gene expression of TNFa. Figure 19B depicts the gene expression of NFKB. Figure 19C depicts the gene expression of IGFl. Figure 19D depicts the gene expression of IGFR1. Figure 19E depicts the gene expression of VEGFR1. Figure 19F depicts the gene expression VEGFR2. The data represents the average ± SEM of the Fold Change in relation to the calibrator (Ctrl). *p<0.05, **p<0.01, ***p<0.001 vs. Ctrl-. ###p<0.001 vs. STZ. ANOVA followed by Tukey-Kramer's post-hoc test.

Figures 20A-20H depict the protein expression of TNFa (also referred to as TNF-alpha), VEGFR1 and VEGFR2 in Ctrl- rat retinas, diabetic (STZ) and diabetic treated b.i.d. topically for 21 days with microemulsion containing masoprocol 0.302% (formulation 04) or microemulsion containing sorafenib tosylate 0.300% (formulation 05). Figure 20A depicts the protein expression of TNFa after treatment with microemulsion containing masoprocol 0.302% (formulation 04). Figure 20B depicts the protein expression of VEGFR1 after treatment with microemulsion containing masoprocol 0.302% (formulation 04). Figure 20C depicts the protein expression of VEGFR2 after treatment with microemulsion containing masoprocol 0.302% (formulation 04). Figure 20D depicts a Western blot analysis of TNFa, VEGFR1 and VEGFR2 in Ctrl- rat retinas, diabetic (STZ) and diabetic treated b.i.d. topically for 21 days with

microemulsion containing masoprocol 0.302% (formulation 04). Figure 20E depicts the protein expression of TNFa after treatment with microemulsion containing sorafenib tosylate 0.300% (formulation 05). Figure 20F depicts the protein expression ofVEGFRl after treatment with microemulsion containing sorafenib tosylate 0.300% (formulation 05). Figure 20G depicts the protein expression of VEGFR2 after treatment with microemulsion containing sorafenib tosylate 0.300% (formulation 05). Figure 20H depicts a Western blot analysis of TNFa, VEGFR1 and VEGFR2 in Ctrl- rat retinas, diabetic (STZ) and diabetic treated b.i.d. topically for 21 days with microemulsion containing sorafenib tosylate 0.300% (formulation 05). The data represents the average ± SEM.

***p<0.001 vs Ctrl-. ##p<0.01, ###p<0.001 vs. STZ. ANOVA followed by Tukey- Kramer's post-hoc test.

Figure 21 depicts corneal damage measured by fluorescein staining at T3 in dry eye mice remained untreated (CTRL+) or treated topically for 3 days with formulation 1 or formulation 04 containing masoprocol 0.302% (formulation 04). The scores assigned to each group are graphed as box and whiskers bars spanning from minimum to maximum. One-way ANOVA followed by Dunnett's post-hoc test. **p<0.01, ****p<0.0001 vs. CTRL-. #p<0.05 vs. CTRL+.

Figure 22 depicts the gene expression of TNFa in the cornea of dry eye mice remained untreated (CTRL+) or treated topically for 3 days with formulation 1 or formulation 04 containing masoprocol 0.302% (formulation 04). The data represents the average ± SEM of the Fold Change in relation to the calibrator (CTRL-). #p<0.05 vs. CTRL+; ****p<0.0001 vs. CTRL-. One-way ANOVA followed by Sidak's post-hoc test.

DETAILED DESCRIPTION

A. DEFINITIONS

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of skill in the art to which the invention(s) belong. All patents, patent applications, published applications and publications, GenBank sequences, databases, websites and other published materials referred to throughout the entire disclosure herein, unless noted otherwise, are incorporated by reference in their entirety. In the event that there are a plurality of definitions for terms herein, those in this section prevail. Where reference is made to a URL or other such identifier or address, it is understood that such identifiers can change and particular information on the internet can come and go, but equivalent information can be found by searching the internet. Reference there to evidences the availability and public dissemination of such information.

As used herein, an emulsion is a system composed of two immiscible liquid phases, intimately mixed and dispersed, the one into the other. An emulsion refers to a colloidal dispersion of two immiscible liquids, for example, an oil and water (or other aqueous liquid, e.g., a polar solvent), one of which is part of a continuous phase and the other of which is part of a dispersed phase. The emulsions herein are oil-in-water, which include any oil soluble phase dispersed in any aqueous phase, also called the water phase, in which the oil phase is the dispersed phase and the water phase is the continuous phase.

Emulsions typically are stabilized by one or more surfactants and/or co- surfactants and/or emulsion stabilizers. Surfactants form an interfacial film between the oil and water phase of the emulsion, providing stability.

As used herein, a microemulsion is a of two-phase systems composed of a lipid phase and an aqueous phase, finely interspersed. Microemulsions are liquid mixtures, transparent, isotropic and stable, of a lipid phase and an aqueous phase, held together by a surfactant, generally in conjunction with a co surfactant. Microemulsions are clear, thermodynamically stable, isotropic liquid mixtures of oil, water and surfactant, and optionally a co-surfactant.

Microemulsions form spontaneously upon mixing of the aqueous phase and lipid phase. A microemulsion is, therefore, a thermodynamically stable system, with particles dispersed in the continuous phase. The droplet size of the dispersed phase in a microemulsion is less than 100 nm, generally in the range between 5 nm and 50 nm, inclusive.

As used herein, "surfactant" refer to synthetic and naturally occurring amphiphilic molecules that have hydrophobic portion(s) and hydrophilic portion(s). Surfactants contain a hydrophilic domain and hydrophobic domain, i.e. amphiphilic molecules. Given their nature, surfactants facilitate the formation of oil-in-water emulsions where the micelles, in order to exist, need to interact with both the water and the oil phases. Due to their amphiphilic (amphipathic) nature, surfactants and co-surfactants can reduce the surface tension between two immiscible liquids, for example, the oil and water phases in an emulsion, such as a microemulsion, stabilizing the emulsion.

Surfactants can be characterized based on their relative hydrophobicity and/or hydrophilicity. For example, relatively lipophilic surfactants are more soluble in fats, oils and waxes, typically having Hydrophobic-Lipophilic Balance (HLB) values less than 10 or about 10, while relatively hydrophilic surfactants are more soluble in aqueous compositions, for example, water, and typically have HLB values greater than 10 or about 10. Relatively amphiphilic surfactants are soluble in oil and water based liquids and typically have HLB values close to 10 or about 10. Surfactants for use in the compositions herein are biocompatible, and an HLB value between 8 or about 8 and 16 or about 16, generally 10-16, or 12-14.

As used herein, a co-surfactant is a surfactant that acts in addition to another surfactant to further reduce the surface tension of a liquid. Recitation that microemulsions contain surfactants refers to the surfactants and the co surfactants that are included. Co-surfactants are hydrophilic in nature, and reduce the surface tension of water They generally are used as wetting agents, for example, to increase the spreading abilities of a water-based fluids by reducing the surface tension of water. Cosurfactants also ae used, and often needed, to increase the solubility of the primary surfactant.

As used herein, "particle size" and "average particle size" refer

synonymously to the average diameter of particles in a provided liquid, for example, the droplet diameter or micelle diameter in an emulsion

As used herein, "oil phase” or "lipid phase" is used to refer to the portion (or phase) of a composition such as those provided herein that contains one or more lipophilic ingredients and/or amphiphilic ingredients, such as an oil, and is, in general, the lipid-soluble phase. In an oil-in-water (o/w) microemulsion, the lipid phase typically is the dispersed phase while water is the dispersion phase.

As used herein, oil phase ingredient(s) refers to the components of the provided compositions that are included in the oil phase in the provided methods for making the compositions. Typical oil phase ingredients include non polar compounds, e.g., non-polar active ingredients; at least one surfactant; oils, such as non-polar solvents; preservatives; and microemulsion stabilizers. Other lipophilic and/or amphiphilic ingredients can be included in the oil phase.

As used herein, "water phase" or "aqueous phase" refers to the portion (phase) of a composition, such as those provided herein, that contains one or more hydrophilic ingredients and/or amphiphilic ingredients (water phase ingredients) and is, in general, the water-soluble phase. Typically, in the provided microemulsion compositions provided herein, the water phase is the continuous phase. "Water phase" also is used to refer to the liquid containing the water phase ingredients that is generated while preparing microemulsions. As used herein, water phase ingredient(s) refers to the components of the compositions that are included in the water phase in the provided methods for making the compositions. Typical water phase ingredients can include, but are not limited to, polar solvents, typically polar protic solvents, such as water and alcohols, typically alcohols having more than one hydroxy group such as dihydroxy and trihydroxy alcohols, such as glycerol and propylene glycol; at least one surfactant; preservatives; and emulsion stabilizers. Other hydrophilic and/or amphiphilic ingredients can be included in the water phase.

As used herein, thermodynamically stability of the microemulsions refers to the stability of the dispersion such that the phases do not separate. The microemulsions provided herein exhibit high thermodynamic stability as shown by their stability at elevated temperatures.

As used herein, a subject includes an animal, typically a mammal, typically a human.

As used herein, room temperature and ambient temperature are used to describe a temperature that is common in one or more enclosed spaces in which human beings typically are or reside. Room temperature can vary, but generally refers to temperatures between 19 °C or about 19 °C and 25 °C or about 25 °C. When a composition is stored at room temperature, it should be understood it is generally kept at a temperature within this range or about within this range.

As used herein, refrigerated temperature refers to a temperature that is common in a refrigerator, for example, a household or restaurant refrigerator, for example, a temperature that is cooler than room temperature, but typically a few degrees above the freezing point of water (0 °C or about 0 °C, or -19 °C or -20 °C). Typically, refrigerated temperatures are between about 10 °C or about 10 °C and 0 °C or about 0 °C, for example, 4 °C or about 4 °C. When a composition is stored at a refrigerated temperature, it should be understood that it is kept at a temperature common to household or industrial refrigerators.

As used herein, frozen temperature refers to a temperature around or below the freezing point of water, e.g., a temperature commonly used in a household freezer, for example, 0 °C or about 0 °C, for example, -19 °C or about - 19 °C or -20 °C or about -20 °C, or colder.

As used herein, the singular forms "a," "an" and "the" include plural referents unless the context dictates otherwise.

As used herein, ranges and amounts can be expressed as "about" a particular value or range. About also includes the exact amount. Hence "about 5 grams" means "about 5 grams" and also "5 grams". It also is understood that ranges expressed herein include whole numbers within the ranges and fractions thereof. For example, a range of between 5 grams and 20 grams includes whole number values such as 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 grams, and fractions within the range, for example, but not limited to, 5.25, 6.72, 8.5, and 11.95 grams.

As used herein, "optional" or "optionally" means that the subsequently described event or circumstance does or does not occur and that the description includes instances where said event or circumstance occurs and instances where it does not. For example, an optionally variant portion means that the portion is variant or non-variant. In another example, an optional ligation step means that the process includes a ligation step or it does not include a ligation step.

As used herein, ranges and amounts can be expressed as "about" a particular value or range. About also includes the exact amount. Hence "about 10%" means "about 10%” and also "10%."

As used herein, "optional" or "optionally" means that the subsequently described event or circumstance or element does or does not occur, and that the description includes instances where said event or circumstance or element occurs and instances where it does not. For example, an optionally substituted group means that the group is unsubstituted or is substituted.

B. OVERVIEW

Provided herein are thermodynamically stable microemulsions that can be used to solubilize pharmaceutically active compounds. The microemulsions provided herein, advantageously, can be used for ophthalmic applications. The microemulsions are prepared from: a lipid phase containing an oily component one or more surfactants and co-surfactants; and an aqueous phase, containing one or more surfactants and co-surfactants. In some embodiments the aqueous phase contains one surfactant and one co-surfactant. Additional ingredients used in emulsions and compositions for pharmaceutical use also can be included.

As described herein the microemulsions provided herein have small particles of relatively uniform size. As a result, the emulsions are very stable and be used to formulate pharmaceutically active compounds to produce very stable compositions in which the compounds have high bioavailability.

The microemulsions are formed by including an oil in the lipid phase, and at least one surfactant and one co-surfactant in each of the aqueous and lipid phases in precise ratios. When these ratios are used, the microemulsions that form upon mixing the two phases, such as by titrating the lipid phase with the aqueous phase (adding the aqueous phase into the lipid phase), have a very narrow distribution range of very small particles (< 30 nm). As a result, the microemulsions are unusually stable, and, can be used to formulate

pharmaceutically active compounds that have limited aqueous solubility. The resulting microemulsion compositions, which are very stable, render the pharmaceutical compounds bioavailable.

In particular embodiments, the microemulsions are formed from aqueous and lipid phases in which:

the weight/volume ratio between the amount of surfactant and co surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 2 to 10;

the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 0.2 to 1 0.

Additionally, in some embodiments, in the lipid phase, the weight/volume ratio between the oily component and the surfactant and co-surfactants is from 0.05 to 1.4, inclusive.

Further details of the components of the microemulsions, including the surfactants, oils, pharmaceutically active compounds, are described herein. C. SURFACTANTS

For preparing the microemulsions each phase must include at least one surfactant, and generally include a co-surfactant. The surfactant(s) in the lipid and aqueous phases can be the same or different.

The surfactants and co-surfactants used for the lipid phase and for the aqueous phase have a HLB value from 8-16, in particular from 10-16, or 12-14. Any biocompatible surfactant/co-surfactants suitable for pharmaceutical applications and that has an HLB in these ranges can be used in the

microemulsions. There are many such surfactants/co-surfactants known to the those of skill in the art (see Tables and discussion below for exemplary surfactants). The skilled person readily can select surfactants and co-surfactants for use in the microemulsions. Selected surfactants will have an HLB within the requisite range, and will be appropriate for the intended application and the active agent. For example, surfactants for ophthalmic use should be suitable for administration to the eye. Surfactants suitable for use in pharmaceutical compositions, include those for ophthalmic application. Such surfactants are well known (see, e.g., U.S. Patent No. 6,267,985).

Hydrophilic surfactants suitable for use in the microemulsion

compositions provided herein include any hydrophilic surfactants known to those of skill in the art that have an HLB between about 8 and 16, inclusive, and generally having an HLB value greater than or equal to 10. Surfactants include, but are not limited to, polyoxyethylene sorbitan fatty acid derivatives,

polyoxyethylenes, hydrogenated castor oil ethoxylates, glycerol esters of fatty acids, PEGylated fatty acids, polyoxyl castor oil surfactants, poloxamers, amine oxides, and alcohol ethoxylates (nonionic surfactants). Co-surfactants, include, glycerol and propylene glycol. Examples include, but are not limited to, polyoxyethylene sorbitan fatty acid derivatives, such as TWEEN 20

(polyethylene glycol sorbitan monolaurate; polysorbate 20; available, for example, from Sigma-Aldrich), TWEEN 80 (polyethylene glycol sorbitan monooleate; polysorbate 80; available from Sigma-Aldrich), and MONTANOX 40 (polyethylene glycol sorbitan monopalmitate; polysorbate 40). Hydrophilic surfactants having the HLB values include castor oil or hydrogenated castor oil ethoxylates, e.g., CREMOPHOR EL (polyoxyl 35 castor oil USP, available from BASF), CREMOPHOR RH40 (KOLLIPHOR RH 40; polyoxyl 40 hydrogenated castor oil USP, available from BASF), ETOCAS 40 (PEG 40 castor oil, available from Croda), CRODURET 60 (PEG-60 hydrogenated castor oil, available from Croda), and KOLLIPHOR HS 15 (polyethylene glycol 15- hydroxystearate, available from Sigma-Aldrich).

The following table provides generic names and

tradenames/trademarks of surfactants, by type, for pharmaceutical applications, including the microemulsions provided herein.

Table Exemplary Surfactants and Co-Surfactants for use in the microemulsions

The surfactants and HLB values set forth in the Tables above are exemplary. Any known surfactant or co-surfactant, suitable for use in a pharmaceutical composition, can be used in the emulsions provided herein.

1. Exemplary surfactants/co-surfactants in the lipid phase For example, in the lipid phase, exemplary surfactants are of the non ionic type such as, but not limited to, for example: poloxamers, such as those sold under the trademarks Pluronic®, a hydrogenated castor oil ethoxylate, such as Kolliphor® and Cremophor®, polysorbates (such as Tween™), lauryl dimethyl amine oxide, polyethoxylated alcohol, polyoxyl lauryl ether, nonionic polyoxyethylene surfactants, such as that sold under the trademark Brij®, polyoxyl castor oil, lecithin, poloxamers, polyethylene glycol, and glycerol esters of fatty acids. In some embodiments, the co-surfactant in the lipid phase is/are propylene glycol and/or glycerol.

2. Exemplary surfactants/co-surfactants in the aqueous phase

In the aqueous phase, exemplary surfactants are of the non-ionic type such as, but not limited to, for example: poloxamers, such as those sold under the trademark Pluronic®, hydrogenated castor oil ethoxylates, such as Cremophor®, and Kolliphor®, polysorbates, such, as Tween™, Lauryl dimethyl amine oxide, polyethoxylated alcohol, polyoxyl lauryl ether, nonionic polyoxyethylene surfactants, such as those sold under the trademark Brij®, polyoxyl castor oil, lecithin, -polyethylene glycol, glycerol esters of fatty acids. In some embodiments, the co-surfactant(s) in the aqueous phase is propylene glycol and/or glycerol.

D. AQUEOUS PHASE COMPONENTS

The aqueous phase includes polar protic solvents, generally those suitable for ophthalmic applications, such as water. The aqueous phase includes all polar and water-soluble ingredients, and include a surfactant and a co surfactant. Other ingredients in the aqueous phase can include alcohols and glycerin and other such solvents.

E. LIPID PHASE COMPONENTS

The lipid phase includes at least one oil, and non-polar ingredients, including pharmaceutical agents/drugs that are not soluble in aqueous

compositions. The lipid phase includes at least one oil. The oil can be a natural oil or synthetic oil, and must be one that is biocompatible. Suitable natural oils, include, but are not limited to, vegetable and/or animal oils, such as, by way of example soya oil, corn oil, linseed oil, sunflower oil, krill oil, cod-liver oil, fish oil, avocado oil, almond oil, babassu oil, borage oil, carob oil, cashew nut oil, grapeseed oil, coconut oil, oryza sativa bran oil, castor oil, hemp seed oil, jojoba oil, peanut oil, poppy seed oil, sesame oil, walnut oil, olive oil, wheat-germ oil, argan oil, cottonseed oil, blackcurrant seed oil, and oils rich in PUFAs by a fraction greater than 10%. Mineral oils of synthetic origin, such as, by way of example esters of medium and long-chain fatty acids, medium and long-chain triglycerides.

F. ADDITIONAL INGREDIENTS

The microemulsions can include additional ingredients suitable and useful in pharmaceutical compositions. The following are exemplary of such ingredients. All should be biocompatible so that they can be, for example, topically applied to the eye or injected into the eye or ingested or administered parentally.

1. Buffers

The microemulsions can include buffers to maintain the pH at a desired range, generally between about 5.0 and 8, such as between 5.2 and 8, such as 7.4 or 7.5. Exemplary biocompatible suitable buffers include, but are not limited to: Trometamol (Tris buffer, 2-Amino-2-(hydroxymethyl) propane-1, 3-diol), Mcllvaine (citrate-phosphate buffer), Sprensen (0.133 M Na2HPO40.133 M

KH2PO4 pH 7.2), sodium lactate, sodium acetate, sodium borate, boric acid, and imidazole. An exemplary buffer is histidine and citrate adjusted to pH with NaOH or HC1. The suitable buffer concentration is in the range of 10-50 mM.

2. Tonicity agents

The microemulsions can include isotonizing agents. These compounds are used to achieve the required tonicity in the preparation. Exemplary of these are glycerol, sorbitol, mannitol, sucrose, trehalose, propylene glycol, dextrose, ethylene glycol, sodium chloride, potassium chloride, magnesium chloride, and calcium chloride. In one embodiment, the microemulsion comprises excipients such as: stabilizing agents, antioxidants, antimicrobials, thickening agents, branched and linear polymers. Tonicity agents are used at concentrations that guarantee osmolality of the formulation ranging, for example, between 100-400, inclusive, mOsmol/kg of the composition

3. Stabilizing agents

The stabilizing agent are chosen by way of example from glycine, proline, cyclodextrins, calixarenes, hypromellose, histidine, betaine, albumin, L-carnitine, taurine, glyceryl monostearate, pectins, polyvinyl alcohol, propylene glycol. It is within the skill in the art to determine an appropriate concentration, which depends upon, for example, the particular stabilizing agent(s) and the other components of the composition. For example, the amount can be between 0.0001% to 20% w/v, inclusive.

4. Thickening agents

The microemulsions can include thickening agents. The thickening agents include, but are not limited to, those extracted from plants, microbes and animals. Many thickening agents are known to those of skill in the art. Exemplary of thickening agents extracted from plants are gums. Exemplary of thickening agents are gums, such as gums extracted from plants belonging to the genera Cyamopsis, Sterculia , Ipomoea, Trigonella , Cassia, Physaria, Tamarindus, Ceratonia, Caesalpinia; exudates of vegetable origin, such as, by way of example those related to species belonging to the genera Manilkara, Amorphophallus, Acacia, Anogeissus, Sterculia, Astragalus; gums of microbic origin, such as, by way of example dextran, gellan gum, xanthan gum; extracts of marine origin, such as, by way of example sodium alginate, alginic acid, carrageenan, agar-agar, and derivatives of Ulva lactuca, Alga nori, Arthrospira platensis; derivatives of animal origin, such as, by way of example chitin and chitosan, hyaluronic acid; derivatives of cellulose, such as, by way of example carboxymethylcellulose (CMC), hydroxyethyl cellulose, hydroxypropyl methyl cellulose (HPMC), methylcellulose (MC), microcrystalline cellulose (MCC).

5. Antioxidants

Antioxidants can be included in the microemulsion compositions.

Exemplary of antioxidants are a-tocopherol, flavonoids (e.g. resveratrol, epigallocatechin-3-gallate, quercetin, naringenin, delphinidin) coenzyme Q10, NDGA (nordihydroguaiaretic acid), meso-NDGA, sodium ascorbate, L-ascorbic acid, N-acetylcarnosine, citric acid, erythorbic acid, L-6-ascorbyl palmitate, L- carnosine, L-glutathione, L-cysteine, cysteine ascorbate. The amount can be determined by the skilled person. It can depend upon the particular

antioxidant(s) employed and the other components of the composition. An exemplary range is between 0.0001% and 5.0 % w/v, inclusive.

G. MICROEMULSION COMPOSITIONS CONTAINING ACTIVE INGREDIENTS

The microemulsion compositions provided herein are to be used as pharmaceutically acceptable carriers for formulating biologically active molecules, such as small molecule drugs and biologies. The microemulsions provided herein are advantageous for formulating active agents that have low solubility in aqueous solutions. The microemulsion provided are used to formulate such active agents in a form that is stable and can also be preserved at room temperature.

The microemulsions provided here can be used for oral, parenteral, topical and local application. In particular embodiments, the emulsions are for ophthalmic administration. The microemulsions can be formulated, for example, for topical application, such as eye drops, or for injection, such as intravitreal injection, depending upon the indication.

1. Active ingredients

Active ingredients include pharmaceutically and biologically active compounds, such as small molecule drugs and biologies, particularly agents that have limited solubility in aqueous compositions. The active agents are formulated, generally by adding them to the lipid phase, and then, mixing the lipid phase with the aqueous phase, such as by titration as described herein. The lipid and aqueous phases contain the required amounts and ratios of

surfactants/co-surfactants and lipids as described herein. The microemulsions that form are characterized by having small particles (< 30 nm, such as 15 nm ± 10 nm), and a narrow particle size range distribution, such as a PDI<0.2, high thermodynamic stability, and good bioavailability and activity of the formulated active agent.

The microemulsions generally contain less than 5% (w/v) of the active agent, but can contain any amount of interest, such as 0.01 mg/ml to 50 mg/ml, such as 0.01 to 30 mg/ml. The particular amount(s) depends upon the

pharmaceutical, the indication for which it is used, the route of administration, and the subject. It is well within the skill in the art to formulate the agent at an appropriate concentration.

Active ingredients include any known pharmaceutical, particularly those with low solubility in aqueous compositions. Included, for example are any pharmaceutical molecules chosen from the groups as defined by the United States Pharmacopeia (USP). These include, but are not limited to, gastrointestinal agents, antispasmodics, blood sugar regulators, nutraceuticals/minerals/ electrolytes, platelet modifying agents, coagulants, cardiovascular agents, alpha- adrenergic agonists/ alpha-adrenergic antagonists/ vasodilators/ arterial vasodilators, carbonic anhydrase inhibitor diuretics/ loop diuretics/ potassium sparing diuretics/ thiazide diuretics, other cardiovascular agents, beta- adrenergic antagonists, calcium channel blockers, angiotensin converting enzyme inhibitors (ACE), dyslipidemics/ HMG CoA Reductase inhibitors

(Statins), anti-fungals, dermatological agents, anti-histamines, anesthetics, anti bacterials, hormone-stimulating agents/ substituents/ modifiers (adrenals, pituitary and sex hormones), glycemic agents, hormone-suppressing agents (parathyroids), anti-mycobacterials, anti-virals, anti-neoplastics,

immunomodulators, anti-inflammatory agents, analgesics, anti-convulsants, anti- Parkinson agents, anti-psychotics, anti-depressants/ anti-dementia agents/ anti anxiety medication, anti-myasthenic agents/ agents for treating substances of abuse/ central nervous system agents, bronchodilators/ sympathomimetics/ anti-cholinergics/ inhaled corticosteroids/ phosphodiesterase inhibitors/ airborne disorders, other agents of the respiratory tract, anti-parasites, anti- glaucoma ophthalmic agents, other ophthalmic agents/ anti-allergic ophthalmic agents, ophthalmic anti-inflammatories, prostaglandin analogues and ophthalmic prostamides.

Active ingredients also include, but are not limited to, any from the groups defined by the Anatomical Therapeutic Chemical Classification System (ATC) compiled by the World Health Organization. These include drugs for acidity-related disorders (A02), drugs for gastrointestinal function disorders (A03), drugs used for diabetes (A10), vitamins (All), mineral supplements (A12), antithrombotic agents (B01), anti-hemorrhagics (B02), cardiac therapy drugs (C01), anti-hypertensives (C02), diuretics (C03), peripheral vasodilators (C04), vasoprotectives (C05), beta-blocking agents (C07), calcium-antagonists (C08), drugs acting on the renin-angiotensin system (C09), lipid-lowering drugs (C10), anti-fungals for dermatological use (D01), emollients and protectives (D02), drugs for injuries and ulcers (D03), antipruritics, including anti histamines, anaesthetics (D04), anti-psoriasis drugs (D05), antibiotics and chemotherapeutic agents for dermatological use (D06), antiseptics and disinfectants (D08), hyphophyseal, hypothalamic hormones and similar (H01), systemic corticosteroids (H02), thyroid therapy (H03), pancreatic hormones (H04), homeostatic calcium (H05), anti-bacterials for systemic use (J01), anti- mycotics for systemic use (J02), anti-mycobacterials (J04), anti-viral drugs for systemic use (J05), immune serums and immunoglobulins (J06), anti-neoplastic agents (L01), endocrine therapy (L02), immunostimulants (L03),

immunosuppressants (L04), anti-inflammatories and anti-rheumatics (M01), topical products for joint and muscle pain (M02), anesthetics (N01), analgesics (N02), anti-epileptics (N03), anti-parkinsonians (N04), psycholeptics (N05), psychoanaleptics (N06), other nervous system drugs (N07), rhinologic

preparations (R01), preparations for the pharyngeal cavity (R02), drugs for obstructive disorders of the respiratory tract (R03), preparations for coughs and colds (R05), anti-histamines for systemic use (R06), other preparations for the respiratory system (R07), anti-infectives (S01A), anti-inflammatory agents (S01B), anti-inflammatory agents and anti-infectives combined (S01C), antiglaucoma agents and miotics (S01E), mydriatics and cyclopegics (S01F), decongestants and anti-allergens (S01G), local anaesthetics (S01H), diagnostic agents (S01J), surgical aids (S01K), ocular vascular agents (S01L), anti-infectives (S03A), corticosteroids (S03B), and corticosteroids combined with anti- infectives combined (S03C).

2. Ophthalmic agents

The microemulsions as described herein are particularly suitable for ophthalmic applications. Thus, any ophthalmic drug can be formulated in the microemulsions. Drugs for ocular use include, but are not limited to, steroidal anti-inflammatory agents, antimicrobial drugs, anti-glaucoma agents,

antihypertensives, diagnostic agents, antiviral agents, anti-angiogenic agents, neuroprotectants and antioxidants. These ingredients can be used alone or in combination.

For example, the active ingredient can be for treatment of ocular hypertension or glaucoma such as, for example: prostaglandins (latanoprost, travoprost, bimatoprost), beta-blockers (timolol, carteolol, levobunolol, betaxolol, nebivolol), parasympathomimetics (pilocarpine), alpha2-agonists (apraclonidine, brimonidine), carbonic anhydrase inhibitors CAI - (brinzolamide, dorzolamide), and derivatives thereof. In one exemplary embodiment, the active ingredient in the microemulsion is chosen from one or more prostaglandin analogs, such as, for example latanoprost, travoprost, bimatoprost, and derivatives.

In embodiments, the active ingredient is an anti-angiogenic, such as, for example sorafenib, sorafenib tosylate, regorafenib, regorafenib tosylate, regorafenib isethionate, regorafenib ethylsulfonate, apremilast, radotinib, spironolactone, or an anti-oxidant, such as nordihydroguaiaretic acid, meso- nordihydroguaiaretic acid (masoprocol), a hydrate, solvate, metabolite or a salt from these, which is acceptable from a pharmaceutical point of view, or a polymorphic crystalline form of the molecules; or the molecule can be a beta- blocker, such as timolol, betaxolol, levobunolol, nebivolol and carteolol; or it is a corticosteroid, such as dexamethasone, or a non-steroidal anti-inflammatory drug (NSAID) or a mixture of two or more of the active ingredients. The microemulsions contain active ingredients in a concentration range from about 0.01 to 50 mg/ml, such as 0.01 to 30 mg/ml. The results shown and described herein demonstrate that the microemulsion confer enhanced stability to the active ingredients, without interfering with the biological action of the active ingredient. For example, Example 6 shows that microemulsions provided herein effectively carry various active ingredients, alone and in combination. The microemulsions confer stability to the active ingredient included in the formulation. For example, Example 11, shows latanoprost activity in the resulting microemulsion, measured in vivo, is at least comparable to that observed using latanoprost in a commercial ophthalmic solution. The chemical stability of the active ingredient is maintained at room temperature.

For example, microemulsions containing masoprocol or sorafenib tosylate are effective in animal models of retinal ischemia-reperfusion, choroidal neovascularization and diabetic retinopathy. As shown in Example 16, microemulsions containing masoprocol 0.302% (formulation 04) are effective in a murine model of dry eye, a pathology of the surface of the eye.

Thus, microemulsions as provided herein permit formulation of any known pharmaceutically active agent, and provide enhanced stability, while retaining activity at least comparable to other formulations that do not confer the enhanced stability.

H. Diseases and conditions of the eye and methods of treatment

The microemulsions provided herein can serve as vehicle for

administration of any active agent, particularly those of low solubility in aqueous compositions. The microemulsions can be used for treatment of ophthalmic disorders by formulating active agents used for treating disorders, conditions and diseases of the eye. The microemulsions provided herein are particularly suitable for these indications because they contain ingredients that are compatible with the tissues of the eye, and because they can provide these agents in a form that is stable and has good bioavailability. These conditions, diseases and disorders, include ophthalmic conditions and pathologies, such as, but not limited to glaucoma, Age-Related Macular Degeneration AMD, diabetic retinopathy, neuropathies, bacterial infections, viral infections, dry eye, allergic and/or inflammation in the eye. The microemulsions can be formulated for topical administration to the eye or for injection or any suitable route.

Different types of diseases affect the eye. The eye is divided into two segments: (1) the anterior segment that contains the cornea, iris, pupil, conjunctiva, ciliary body, anterior chamber, aqueous humor, trabecular meshwork, and lens; and (2) the posterior segment that contains the vitreous humor, sclera, choroid, retina, macula and optic nerve. There are many diseases and conditions of the eye, and pharmaceutically active agents that are used to treat such diseases and conditions. Administration can be effected by any route, such as topically using eye drops, and by injections, such as intravitreal injection. Treatment is important as some diseases eventually lead to blindness.

The following are exemplary of diseases that can be treated, and drugs that can be formulated in the microemulsions provided herein,

1. Glaucoma

Glaucoma is a multifaceted disorder resulting from damage to the retinal ganglion cells and their axons, causing progressive optic nerve degeneration and leading to irreversible blindness in some patients. There are two main categories of glaucoma that are characterized by an elevated intraocular pressure (IOP) such as Open-angle glaucoma (OAG) and Angle-closure glaucoma (ACG). OAG is a chronic condition where there is a partial blockage within the trabecular meshwork or Schlemm's canal that compromises the ability of the aqueous humor (AqH) to be properly drained from the eye, resulting in an increased IOP. ACG is defined by a closing of the iridocorneal angle within the anterior chamber, and is caused by factors that either pull or push the iris up into the anterior chamber. This change in morphology can physically block the drainage of AqH by restricting flow through the iridocorneal canal and trabecular meshwork.

Moreover there is a Normal-tension glaucoma (NTG) that is a form of OAG characterized by glaucomatous optic neuropathy in patients with IOP

measurements consistently lower than 21 mmHg, Drugs for treatment of glaucoma include prostaglandin analogs, such as, latanoprost, bimatoprost, travoprost and tafluprost; beta-blockers, such as timolol, carteolol, levobunolol and betaxolol, and alpha-adrenergic agonists, such as brimonidine and apraclonidine, and carbonic anhydrase inhibitors, such as dorzolamide and brinzolamide, and pharmaceutically acceptable

derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form of the molecules. Moreover, since 2014, new classes of drugs have been developed with new mechanisms of action, such as nitric oxide (NO)- donating prostaglandin F2-alpha analogue (latanoprostene bunod), rho kinase inhibitors (ripasudil and netarsudil mesylate) and prostaglandin EP2 receptor agonist (DE-117).

2. Macular Degeneration

Age-related macular degeneration (AMD) is a disease that affects the macular region of the retina, causing progressive loss of central vision; it is a

multifactorial disorder, with dysregulation in the complement, lipid, angiogenic, inflammatory, and extracellular matrix pathways implicated in its pathogenesis. By 2020, the number of people with AMD globally is expected to be around 200 million, increasing to nearly 300 million by 2040. There are two major forms of MD, with different prognosis and therapy: the atrophic or dry-type MD, representing approximately the 85-90% of the total number of cases, and the neovascular or wet-type MD. The initial alteration of the fundus is often represented by the so-called drusen, or colloids bodies, that are degenerative formations of yellowish color and round shape mostly found at the posterior pole. Considering the mechanisms inducing the chronic retinal damage, an alteration of the metabolic sustainment of the photoreceptors cells (rods and cones) and of the retinal pigment epithelium (RPE) is supposed, depending on inflammation processes and vascular modifications. Among the drugs for Wet AMD are VEGF antagonists, and, also inhibitors of complement activation that target complement C3 or C5. Exemplary of such drugs, which are administered by intravitreal injection, are ranibizumab (trade name: Lucentis), and aflibercept (Eylea), pegaptanib (Macugen®), and bevacizumab (Avastin^®)_. Classes of drugs with other mechanisms of action are being developed. These include, for example, anti-complement agent (C3 Inhibitor) (APL-2), anti-complement agent avacincaptad pegol (C5 Inhibitor; Zimura®), alpha2-adrenergic receptor agonist (Brimo DDS), DARPin based anti- VEGF (abicipar pegol), scFv anti-VEGF antibody fragment (brolucizumab), anti-VEGF-C and VEGF-D (OPT-302) There are also promising drugs in early-stage development such as targets

C5/complement factor F (CLG561/LFG316 combination), binds Ang2/VEGF as a single molecule (RG7716), anti-endoglin antibody (DE-122), VEGF inhibitor (LHA510 and PAN-90806), integrin 3nb3 antagonist (SF0166), PDGF/VEGF inhibitor (X-82), CTGF inhibitor (RXI-109 ), VEGF, PDGF and bFGF inhibitor (squalamine lactate), PPAR-alpha agonist (BIO-201), antioxidant/NF-kB inhibitor (CPC-551), mPTP opening blocker (ocuvia), 16S rRNA of 30s ribosomal subunit inhibitor (FMX-103), tissue factor inhibitor (ICON-1), MASP-2 antibody (OMS-721), b-amyloid inhibitor (ALZ-801) and R0B04 agonist (DS-7080).

3. Dry Eye

Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film, and accompanied by ocular symptoms, in which tear film instability and hyperosmolarity, ocular surface inflammation and damage, and neurosensory abnormalities play etiological roles. The management of this ocular disease is dominated by the widespread use of artificial tears that contain hydrogel polymers such as sodium hyaluronate and methylcellulose; corticosteroids such as fluorometholone, prednisolone and dexamethasone; immunosuppressant and anti-inflammatory such as, cyclosporine. Moreover, new classes of drugs have been developed with new mechanisms of action, such as P2Y2 receptor agonist (diquafosol tetrasodium); mucin secretagogue

(rebamipide); integrin inhibitor and anti-inflammatory (lifitegrast); TrkA agonist and neurotrophin peptidomimetic (tavilermide); mitochondrial antioxidant (visomitin) and recombinant human nerve growth factor (RH-NGF).

Other drugs in clinical development. These, include, for example, as thymosin beta 4/synthetic peptide (RGN-259), RNAi-based TRPV1 inhibitor (tivanisiran), aldehydetrap (reproxalap) and recombinant human lubricinprotein (ECF-843) and promising drugs in early-stage development such as a synthetic fragment of lacritin (lacripep), calcineurin inhibitor (voclosporin), epithelial sodium channel blocker (P-321),

4. Meibomian Gland Dysfunction (MGD)

Meibomian gland dysfunction (MGD) is a chronic, diffuse abnormality of the meibomian glands, commonly characterized by terminal duct obstruction and/or qualitative/quantitative changes in the glandular secretion. This may result in alteration of the tear film, symptoms of eye irritation, clinically apparent inflammation, and ocular surface disease. MGD can lead to alterations in the normal lipid composition in meibomian gland secretions. Lipid abnormalities can lead to abnormalities of tear film composition and function resulting

in evaporative dry eye. Systemic minocycline and doxycycline are known to produce significant effects in the management of MGD.

5. Cataract

Cataract is the opacification of the eye lens resulting in a change to the refractive index and therefore creating a loss of vision. Depending on the location of the opacification, age-related cataract can be classified as cortical, nuclear, or posterior subcapsular cataract. In addition to aging, eye injuries, infections, and surgeries can cause cataract formation. Even though surgical therapy is well established and effective, it cannot be performed in many developing countries due to the lack of both the required instrumentation and medical professionals. The development of nonsurgical treatments is crucial for preventing and reversing cataracts. Interestingly, antioxidants, chaperones, chaperone

activators, and protein aggregation inhibitors are promising drug candidates. For example, eye drops containing lanosterol have been shown to improve vision.

6. Diabetic Retinopathy and Macular Edema Diabetic retinopathy (DR) and macular edema, the most-feared

complication of diabetes mellitus, is the most frequent cause of new cases of blindness (28.5%) among adults aged 20-74 years. DR is clinically classified into nonproliferative and proliferative disease stages. In nonproliferative DR (NPDR), intraretinal microvascular changes occur including microaneurysms, altered retinal vascular permeability and eventual retinal vessel closure and

nonperfusion. PDR involves the formation of new blood vessels on the retina or the optic disk. These new abnormal blood vessels erupt through the surface of the retina and proliferate into the vitreous cavity of the eye, where they can hemorrhage into the vitreous, resulting in visual loss. Treatments include anti inflammatories, and VEGF-inhibitors

7. Infections and allergies

Infections of the eye are treated with appropriate antibiotics, anti-virals, anti-fungals, anti-inflammatories and combinations thereof and combinations with antibiotics. The particular treatment depends type of infection and locus of the infection.

I. Methods of making the microemulsion

The microemulsions can be prepared by preparing the aqueous phase and lipophilic phase containing surfactants/co-surfactants in amounts within or at the ratios described herein, and then mixing the phases, which form the microemulsions. Exemplary of the methods for preparing microemulsions herein are those depicted in Figure 1 and Figure 2. An exemplary method, includes the steps of:

preparing the lipid phase, where a mixture of one or more surfactants/co- surfactants is solubilized in oil, mixing from 1 to 10 parts of the mixture for every part of oil;

preparing the aqueous phase, where a surfactant/co-surfactant mixture plus any excipients is solubilized in water or other polar protic solvent;

titrating of the lipid phase with the aqueous phase to produce a microemulsion where 0.4 - 4.0% (w/v) of the microemulsion is composed of the oily component of the lipid phase, 4.0% - 36.0% (w/v) of the

microemulsion is composed of the surfactants/co-surfactants of the lipid phase, and 1.66% - 4.15% (w/v) of the total surfactants/co-surfactants are the surfactants/co-surfactants from the aqueous phase. In one embodiment, the lipid and aqueous phases are combined by slow magnetic-driven mixing. The titration can be performed at a speed, which is described by the following equation:

where V_tit=titration speed in ml x min-¹, k=2 ml x min-¹, V_tot=total volume of the formulation in ml.

The micellar dimension in the resulting composition is about 15 ± 10 nm and the polydispersity index (PDI) is within the range 0.02- 0.380, or 0.02 to 0.2, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1. The preparation is performed at room temperature.

Advantageously, the microemulsions provided herein, particularly those that are intended for ophthalmic indications, do not contain any co-surfactant of an alcoholic nature. The resulting microemulsions, thus, are biocompatible, i.e. well tolerated, with ocular tissues.

J. Examples

The following examples are included for illustrative purposes only and are not intended to limit the scope of the invention.

Example 1

Illustrative microemulsions

A series of microemulsions that contain amounts of surfactants and co surfactants and lipid phase in accord with the ratios and amounts as provided herein were prepared. One formulation, designated formulation 5, was prepared with amounts outside the ratios, to demonstrate the effect of the ratios.

Formulations with active drugs also were prepared to assess various parameters and activities. The ratios to form microemulsions with the advantageous properties described herein are, for example:

weight/volume ratio between surfactant/co-surfactant in the lipid phase and surfactant/co-surfactant in the aqueous phase is from 2 to 10, such as 2.2 to 9.8 or 2.4 to 8.6, and the weight/volume ratio between the oily component of the lipid phase and the surfactants/co-surfactants in the aqueous phase is from 0.2 to 1.0, such as from 0.22 to 0.98, or 0.24 to 0.96.

In the lipid phase of microemulsions, the weight/volume ratio between the oily component of the lipid phase, and the mixture of the surfactants/co- surfactants is from 0.05 to 1.4, such as from 0.07 to 1.2, or 0.1 to 1.

Five formulations were obtained using isopropyl myristate as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents (surfactants), propylene glycol (co-surfactants) as a wetting agent, sodium citrate dihydrate as a buffer, and citric acid as a pH adjuster. As detailed below, the emulsifiers and the wetting agent are the surfactant and co- surfactants, respectively, in the lipid phase and/or in the aqueous phase, respectively.

Microemulsion for ophthalmic use, formulation 1:

Tween 80 and propylene glycol are the surfactant/co-surfactant in the lipid phase. The Tween 80 and the propylene glycol are in a ratio of 2:1. In the aqueous phase, the surfactant and co-surfactant are Kolliphor RH40 and propylene glycol, respectively. In the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 1, the surfactant/co surfactant in the lipid phase are 4.05% (w/v) of the microemulsion and the surfactant/co-surfactant of the aqueous phase are 1.66% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 2:

Tween 80, Propylene glycol and Kolliphor RH40 are the surfactants/co- surfactants of the lipid phase. In the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5. Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants in the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 2, the surfactants/co-surfactants of the lipid phase are 18.67% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 4.15% (w/v) of the microemulsion.

Tween 80, Propylene glycol and Kolliphor RH40 are the surfactants/co- surfactants of the lipid phase, where, in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 3, the surfactants/co-surfactants of the lipid phase are 36% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 4.15% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 4:

Tween 80 , Propylene glycol and Kolliphor RH40 are the surfactants/ co surfactants of the lipid phase, where, in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 4, the surfactants/co-surfactants of the lipid phase are 4.05% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 1.66% (w/v) of the microemulsion.

Formulation 5 - comparison formulation

The ingredients in formulation 5, described below, do not meet the requisite ratios. It is specifically composed so that the ratio between the oily component and surfactants/co-surfactants in the aqueous phase, and the ratio between surfactants/co-surfactants in the lipid phase and surfactants/co- surfactants in the aqueous phase do not fall within the parameters of the emulsions as provided herein. It was prepared for comparison with the microemulsions provided herein to demonstrate that the advantageous properties of the microemulsions provided herein derive from the ratios.

Tween 80 and propylene glycol are the surfactants/co-surfactants in the lipid phase, where, in the lipid phase, the Tween 80 and the propylene glycol are in a ratio of 2:1; Kolliphor RH40 and propylene glycol are the surfactants/cosurfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 5, the surfactants/co-surfactants of the lipid phase are 5.08% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 2.62% (w/v) of microemulsion.

Formulations 6-9

Four formulations (6, 7, 8 and 9), were prepared using krill oil or coconut oil or a mixture of 3 parts of krill oil and 1 part of borage oil, as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, sodium citrate dihydrate as a buffer and citric acid as a pH adjuster.

Tween 80, propylene glycol and Kolliphor RH40 are the surfactants/co- surfactants of the lipid phase, where, in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 6, the surfactants/co-surfactants of the lipid phase are 4.05% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 1.66% (w/v) of the microemulsion. In formulations 7, 8, and 9, the surfactants/co-surfactants of the lipid phase are 18.67% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 4.15% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 6:

Microemulsion for ophthalmic use, formulation 7:

Microemulsion for ophthalmic use, formulation 8:

Microemulsion for ophthalmic use, formulation 9:

Formulations 10-16

Three formulations (10, 11 and 12) were obtained using a mixture containing 3 parts of castor oil and 1 part of oriza sativa bran oil or 1 part of avocado oil or 1 part of grape seed oil, as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, sodium citrate dihydrate as a buffer and citric acid as a pH adjuster.

Three formulations (13, 14 and 15), were obtained using a mixture of 3 parts of krill oil and 1 part of borage oil or 1 part of linseed oil or 1 part of chia oil, as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, sodium citrate dihydrate as a buffer and citric acid as a pH adjuster.

Formulation 16 was prepared using coconut oil as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, sodium citrate dihydrate as a buffer and citric acid as a pH adjuster. In microemulsion formulations 10, 11, 12, 13, 14, 15 and 16, Tween 80, propylene glycol and Kolliphor RH40 are the surfactants/co-surfactants of the lipid phase, where, in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In the formulations, the surfactants/co-surfactants of the lipid phase are 4.05% (w/v) of the microemulsion, and the surfactants/co-surfactants of the aqueous phase are 1.66% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 10:

Microemulsion for ophthalmic use, formulation 11:

Microemulsion for ophthalmic use, formulation 12:

Microemulsion for ophthalmic use, formulation 13:

Microemulsion for ophthalmic use, formulation 14:

Microemulsion for ophthalmic use, formulation 15:

Microemulsion for ophthalmic use, formulation 16:

Table 1 summarizes the ratio between surfactants/co-surfactants in the lipid phase, and the ratio between the surfactants/co-surfactants in the aqueous phase for each of formulations described in this example. For example, in formulation 1, there is one surfactant, Tween 80, and one co-surfactant, propylene glycol in the lipid phase; the amount of Tween 80/the amount of propylene glycol is 2:1.

Table 1: Ratio surfactants/co-surfactants in the lipid and aqueous phases

Example 2

Influence of formulation composition on microemulsion parameters and relative chemical and physical stability

Stress tests were performed on Formulation 1, as described in Example 1, and in its variations subsequently described herein to determine chemical and physical stability.

Formulation 1 was varied using different buffers in amounts and combinations as set forth Table 2.

Table 2:

The stability data obtained in conditions of thermal shock at 60° C, for 15 days, are shown in Figures 3A-3D and concern: pH (Fig, 3A), osmolality (Fig. 3B), average particle size (size, Fig. 3C) and Zeta potential (pZ, Fig. 3D). From the parameters studied and the results (Figs. 3A-3D), microemulsion

formulation 1, and each of its variations, showed a good stability profile. Of the four microemulsions variants (i.e., 1, 1.1., 1.2 and 1.3), formulation 1, because of its lower citrate buffer concentration, was selected as the most suitable for ophthalmic use and used as a base for further developments and comparisons. Varying the ratios between the oily phase and the aqueous phase, and the ratio between the surfactants and co-surfactants within the oily and aqueous phase outside the ratios described herein, produces formulations that do not have the requisite properties, such as an average particle size less than 30 nm, or the narrow distribution 15 ± 10 nm. For example, Formulation 5, described above, prepared for comparison with microemulsions provided herein, was not formed from aqueous and lipid phases that contained the requisite ratios of surfactants and does not exhibit the advantageous properties of formulations in which the amount of surfactant(s) in each phase meet the requisite criteria Table 3 summarizes differences between microemulsion formulation 1 and formulation 5. Formulation 5 is not within the parameters of the microemulsions provided herein; it is described herein for the purpose of comparison.

Table 3:

Specifically, for formulation 1, the ratio between the oily component of the lipid phase surfactants-co-surfactants in the aqueous phase is equal to 0.24, which is within the range 0.2 - 1. For formulation 1, the surfactant/co-surfactant ratio in the lipid phase to surfactants/co-surfactants in the aqueous phase is equal to 2.44, which is within the range 2.0 - 10. Formulation 1 is characterized by an average particle size < 20 nm, and a polydispersity index (PDI) < 0.10.

For formulation 5, however, the ratio between the oily component/sur- factants-co-surfactants in the aqueous phase is equal to 0.19, and the ratio between surfactants/co-surfactants in the lipid phase/surfactants-co-surfactants in the aqueous phase is equal to 1.93. Formulation 5 is characterized by an average particle size > 30 nm, and a PDI > 0.40.

The average particle distribution diagrams (size) for formulation 1 and formulation 5 are shown in Figures 4A and 4B, respectively. Formulation 5 appears opalescent and is thermodynamically unstable. In contrast, formulation 1, and its variants described herein, appeared transparent and are

thermodynamically stable in the studies carried out for a period of up to 6 months.

Figures 5A-5D show the stability data of formulation 1 in time (months) relating to osmolality (Fig. 5A), pH (Fig. 5B), average particle size (nm, Fig. 5C), and Zeta potential (pZ, Fig. 5D) at 25° C and 40° C. These results show that any deviation from the requisite ratios described herein results in microemulsions that do not have the advantageous properties. Thus, provided are parameters and components for preparing microemulsions that have properties that have not heretofore been observed.

Example 3

Stability of formulation 4

Figures 6A-6C show the stability data in time (months) relating to size and the PDI at different temperatures [25° C (Fig. 6A), 40° C (Fig. B) and 60° C (Fig. 6C)] of an illustrative microemulsion formulation provided herein. In each of the conditions analyzed, formulation 4 always presents a size and a PDI within 15 ± lOnm and 0.070 ± 0.050, respectively. Such values are within the ranges provided herein, and remained constant for the whole study period.

Example 4

Stability of formulations 7, 8, and 9

Formulations 7, 8, and 9 are characterized by: size < 25 nm;

polydispersity index (PDI) < 0.24 and pH value within the range 6.0-7.4.

Figures 7A-7D show the stability data of formulations 7, 8 and 9 in time (weeks) relating to pH (Fig. 7A), average particle size (nm, Fig. 7B),

polydispersity index (PDI, Fig. 7C) and Zeta potential (mV, Fig. 7D) in conditions of thermal shock at 60° C, for 30 days.

In the condition analyzed, all formulations always show a size and a PDI within the ranges 15 ± lOnm and 0.190 ± 0.050, respectively. Such values are within the ranges provided herein, and remain constant for the whole study period. Example 5

Stability of formulations 6, 10, 11, 12, 13, 14, 15 and 16

Formulation 6 is characterized by: size < 20 nm; polydispersity index (PDI) < 0.10 and pH value within the indicated ranges of 5-6.

Formulations 10, 11, 12, 13, 14, 15 and 16 are characterized by: size < 20 nm; polydispersity index (PDI) < 0.10 and pH value within the indicated ranges of 6.5-7.5.

Figures 8A-8E show the stability data in time (weeks) relating to pH (Fig. 8A), average particle size (nm, Fig. 8B), polydispersity index (Fig. 8C),

osmolality (Fig. 8D) and Zeta potential (mV, Fig. 8E) in conditions of thermal shock at 60° C, for 30 days.

In the condition analyzed, all formulations always show a size and a PDI within the ranges 15 ± 10 nm and 0.190 ± 0.050, respectively.

Such values are within the range provided herein and remain constant for the whole study period.

Summary Table of Some of the Exemplary Microemulsion Formulations

Example 6

Exemplary microemulsions containing latanoprost, masoprocol or sorafenib tosylate

Formulations that contain a pharmaceutically active compound are designated with a "0" in front of the number. Five formulations, designated 01, 02, 03, 04 and 05, prepared as described herein, contain isopropyl myristate as an oily component, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, and sodium citrate dihydrate and/or histidine hydrochloride as a buffer

Four formulations, designated 06, 07, 08 and 09, contain krill oil or coconut oil or 3 parts of krill oil and 1 part of borage oil, as an oily phase, water as a dispersant, Tween 80 and Kolliphor RH40 as emulsifying agents, propylene glycol as a wetting agent, sodium citrate dihydrate and/or histidine

hydrochloride as a buffer.

The following tables provide exemplary microemulsions that include an active agent for ophthalmic use.

Microemulsion for ophthalmic use, formulation 01:

Microemulsion for ophthalmic use, formulation 02:

Microemulsion for ophthalmic use, formulation 03:

Microemulsion for ophthalmic use, formulation 04:

In formulations 01, 02, 03 and 04, Tween 80 and propylene glycol are the surfactants/co surfactants of the lipid phase, where, in the lipid phase, the Tween 80 and the propylene glycol are in a ratio of 2:1; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In formulation 1, the surfactants/co-surfactants of the lipid phase are 4.05% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 1.66% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 06:

In formulation 06, Tween 80, propylene glycol and Kolliphor RH40 are the surfactants/co-surfactants of the lipid phase, where, in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co-surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In the formulations, the surfactants/co surfactants of the lipid phase are 4.05% (w/v) of the microemulsion and the surfactants/co-surfactants of the aqueous phase are 1.66% (w/v) of the microemulsion.

Microemulsion for ophthalmic use, formulation 07:

Microemulsion for ophthalmic use, formulation 08:

Microemulsion for ophthalmic use, formulation 09:

In formulations 05, 07, 08 and 09, Tween 80, propylene glycol and Kolliphor RH40 are the surfactants/co-surfactants of the lipid phase; in the lipid phase, the Tween 80, the propylene glycol and the Kolliphor RH40 are in a ratio of 1:2:1.5; Kolliphor RH40 and propylene glycol are the surfactants/co surfactants of the aqueous phase, where, in the aqueous phase, the Kolliphor RH40 and the propylene glycol are in a ratio of 3:1. In these formulations, the surfactants/co-surfactants of the lipid phase are 18.67% (w/v) of the

microemulsion and the surfactants/co-surfactants of the aqueous phase are 4.15% (w/v) of the microemulsion (total surfactants/co-surfactants in the resulting microemulsion are 23.83%).

Example 7

Stability of formulations 01, 02 and 03 of Example 6 containing latanoprost

Formulations 01, 02 and 03 as described in Example 6 were subjected to stress tests to evaluate their chemical and physical stability. The stability data obtained in thermal shock conditions at 60° C for 15 days is shown in Figures 9A-9E, which shows: pH (Fig. 9A), osmolality (Fig. 9B), size (Fig. 9C), pZ (Fig. 9D) and percentage of latanoprost recovery (Fig. 9E).

All of the tested formulations were shown to maintain chemical-physical parameters within the specifications during the whole of the study period.

Formulation 03 highlighted a low variability in the percentage of latanoprost and an osmolality value more suitable for ophthalmic use.

A stability study was performed on formulation 03 for up to 24 months. The results are shown in Figures 10A-10E and Figures 11A-11D. The stability data obtained at 25° C, 40° C and 5° C is shown in Figures 10A-E, which shows: pH (Fig. 10A), osmolality (Fig. 10B), size (Fig. 10C), and pZ (Fig. 10D). In

Figure 10E, the graph shows the concentration of latanoprost in the long-term stability study (25° C±2° C, RH=60%±5%), expressed as recovery % according to the different study times. The concentration of latanoprost stayed within the specification limits for the whole duration of the analysis. Figure 11A shows the PDI and the average particle size distribution determined during the course of the long-term stability study (25° C±2° C, RH=60%±5%). Figures 11B-11D show the PDI and the average particle size determined at 40° C for 6 months, 60° C for 3 weeks, and 4° C for just over 10 months, respectively. The measured parameters were within the expected ranges for the duration of the study.

Example 8

Stability of formulations 04 and 06 of Example 6, containing masoprocol

Formulations 04 and 06 as described in Example 6 were subjected to long term stability studies to evaluate their stability profiles (25° C±2° C,

RH=60%±5%, 5° C ± 3° C). Figures 12A-12E show the pH (Fig. 12A), osmolality (Fig. 12 B), size (Fig. 12C), pZ (Fig. 12D) and percentage of masoprocol recovery (Fig. 12E) determined during the course of the long-term stability study. The measured parameters remained within the expected ranges for the duration of the study.

Example 9

Stability of formulations 07, 08, and 09

Formulations 07, 08 and 09, which contain sorafenib tosylate, as described in Example 6 were subjected to stress tests and long-term stability tests to evaluate their stability.

Figures 13A-13E show the pH (Fig. 13A), size (Fig. 13B), polydispersity index (Fig. 13C), pZ (Fig. 13D) and percentage of sorafenib recovery (Fig. 13E) determined during the course of the long-term stability study (25° C±2° C, RH=60%±5%) and accelerated stability study (40° C±2° C, RH=75%±5%). All formulations in both conditions showed parameters within the expected ranges for the whole duration of the study. In particular, formulation 07 exhibited very low variability in the pH value in the accelerated condition study. Example 10

Cell viability in Statens Seruminstitut Rabbit Cornea (SIRC) cells

SIRC cells were allowed to grow at 37° C, 5% CO2 in complete Basal Medium Eagle (BME) until subconfluence (70-90%) and then repeatedly exposed (6 x 5 min) to control formulations or microemulsions at different

concentrations (%) (see Table 4). Cells were also exposed to negative control (sterile culture medium containing fetal bovine serum-free BME, CTRL-) and positive control (benzalkonium chloride 0,01%, CTRL+) for cytotoxicity. Analysis of cell viability was conducted by 3-(4,5-Dimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide (MTT) assay using the ECVAM Protocol n°17. The optical density (O.D.) was read at 570 nm in a microplate spectrophotometer. Cell viability was calculated as a percentage of negative control and statistical analysis was performed with one sample t-test vs. cut-off 50%.

Table 4: Microemulsions and relative active ingredient.

Viability assessed by means of MTT demonstrated that no cellular mortality was associated with the microemulsions with or without active ingredient in any of the conditions tested (data not shown). Microemulsions containing vegetable and/or animal oils showed better cytocompatibility than the microemulsions containing mineral oils of synthetic origin. Example 11

Efficacy in vivo in a chronic ocular hypertension model

An in vivo pharmacological study was carried out on a chronic ocular hypertension model induced by means of cauterization of the episcleral veins (EVC) in rat. The hypotensive effect of the microemulsion containing latanoprost 0.005% (formulation 03) described in Example 6 was evaluated by

administering one drop per day during the course of a treatment cycle lasting six days.

The latanoprost formulated in the microemulsion (formulation 03) produced an average reduction in intraocular pressure of 3.3 mmHg [n = 15,

95% Cl (2.9, 3.7)]. As is shown in Figure 14, this effect was comparable (p> 0.05, Student t-test) to the effect in the eye treated with a standard solution of latanoprost 0.005% (solution) [n = 11, 3.6 mmHg, 95% Cl (3.2, 4.1)].

Example 12

Efficacy in the retinal ischemia-reperfusion model

A retinal ischemia-reperfusion (IR) model in rat was used to demonstrate the in vivo efficacy of the microemulsions containing masoprocol 0.302%

(microemulsions formulations 04 and 06) and the microemulsions containing sorafenib tosylate 0.300% (microemulsions formulations 05 and 07), shown in Example 6. Before inducing the IR, Brown-Norway adult male rats weighing 200- 250 g were treated topically for 2 days (12 ml b.i.d,, right eye) and lh before the insult (12 ml, right eye) with one of the following formulations: a) formulation 1; b) formulation 04; c) formulation 6; d) formulation 06; e) formulation 2; f) formulation 05; g) formulation 7 or h) formulation 07. Animals were

anaesthetized, and, following mydriasis induced by tropicamide 0.5%, the IR was induced by inserting a 30 gauge needle into the front chamber of the right eye, connected to a container of physiological saline solution. The saline solution reservoir was positioned at a height from the operating table that guaranteed hydrostatic pressure at the eye level of approximately 130 mmHg. Raising intraocular pressure to such levels to induce the ischemia was confirmed by the "whitening" of the back of the eye. After 45 min, the needle was removed to restore the retinal blood flow.

Six hours after the ischemic episode, the animals were sacrificed and the retinas taken and preserved in 50 ml of storage stabilization solution (RNAlater^®, available from ThermoFisher Scientific) to evaluate any potential effects of the microemulsions containing masoprocol 0.302% (formulations 04 and 06) or the microemulsions containing sorafenib tosylate 0.300% (formulations 05 and 07) on the pro-inflammatory gene expression by means of Real Time RT-PCR.

Analysis of the gene expression levels in the retinas of rats treated with microemulsions containing masoprocol 0.302% showed that: a) treatment with formulation 04 significantly reduced the TNF-alpha (28.7%) and iNos (130%) expression levels (#p<0.05, ##p<0,01) compared to that observed in the retinas of animals treated with the carrier alone (formulation 1; see Fig. 15A);

b) treatment with formulation 06 significantly reduced the expression levels of TNF-alpha (49.5%) and iNos (82.4%) (#p<0.05, ##p<0.01) compared to that observed in the retinas of animals treated with the carrier alone (formulation 6; see Fig. 15B).

Treatment of ischemic rats with microemulsions containing sorafenib tosylate 0.300% showed that: a) formulation 05 significantly reduced the expression levels of the mRNA of TNF-alpha (20.7%) and iNos (87.3%) (#p<0.05, ##p<0.01) compared to that observed in retinas of animals treated with the carrier alone (formulation 2; see, Fig. 16A); b) treatment with formulation 07 significantly reduced the expression levels of TNF-alpha (45.3%) and iNos (96.5%) (#p<0.05, ##p£0.01) compared to what was observed in retina of animals treated with the carrier alone (formulation 7; see Fig. 16B).

Microemulsions comprising vegetable (formulation 07) and/or animal (formulation 06) oils showed an efficacy profile superior to that shown by microemulsions comprising mineral oils of synthetic origin (formulations 04 and 05). Example 13

Efficacy in a murine model of choroidal neovascularization

In order to evaluate the potential anti-angiogenic action of the

microemulsion containing masoprocol 0.302% (formulation 04) and the microemulsions containing sorafenib tosylate 0.300% (formulations 05 and 07) in age-related macular degeneration (AMD), a murine model of choroidal neovascularization (CNV) was used. For this purpose, 6-8 week-old male mice C57B16/J were pre-treated topically (5 ml b.i.d., both eyes) for three days preceding the induction of CNV and for the following 7 days with one of the following formulations: a) formulation 1; b) formulation 04; c) formulation 2; d) formulation 05; e) formulation 7 or f) formulation 07.

Before laser induction, the animals were anaesthetized by intraperitoneal injection with a solution of ketamine and xylazine (80 mg/Kg and 10 mg/Kg, respectively) and the pupil dilated with a topical application of 0.5%

tropicamide. Subsequently, an aqueous solution of 2.5% hydroxy-propyl- methylcellulose was introduced into both eyes. The eyeground was observed with a camera and photocoagulation was induced using an image-guided laser system (Micron IV, Phoenix Research Laboratories, Pleasanton CA). Four radial spots were performed in both eyes at an equal distance from the optic nerve by laser impulse (532 nm; duration 100 msec; power 200 mW). The

neovascularization area was determined by means of an immunofluorescence test. The animals were sacrificed by cervical dislocation and the enucleated eyes were put in 4% paraformaldehyde, then, the front segment of the eye was removed and the remaining part, called the 'eye-cup' (sclera, choroid, retinal pigment epithelium [RPE] and retina), was incubated in the presence of 0.7%

FITC-Griffonia simplicifolia Isolectin for 16h. The volume of each spot was obtained by fluorescence acquisition of a stack of images (20-25 frames, each with a thickness of l-pm) along the z axis, from the upper surface to the deepest focal plane, in relation to the RPE cells. The fluorescent areas of each frame composing a single stack were measured with the program ImageJ (NIH, Bethesda, MD) and added together, thus obtaining a neovascularization volume measurement.

The results demonstrate that animals treated topically with the microemulsion containing masoprocol 0.302% (formulation 04) showed a statistically significant reduction in choroidal neovascularization of ~ 33% (p=0.0395) compared to carrier alone (formulation 1) (Fig. 17). The results also demonstrate that animals treated topically with the microemulsion containing sorafenib tosylate 0.300% (formulation 05) showed a 54% reduction of choroidal neovascularization; this result was highly significant when compared to animals treated with carrier alone (formulation 2) (Fig. 18A). Similar results have been obtained in animals treated topically with formulation 07, which significantly reduced choroidal neovascularization by ~ 61% (p=0.0001) when compared to carrier alone (formulation 7) (Fig. 18B).

The microemulsion containing vegetable oils and containing sorafenib tosylate 0.300% (formulation 07) showed an efficacy profile superior to that observed for the microemulsion comprising mineral oils of synthetic origin (formulation 05).

Example 14

Efficacy in the streptozotocin-induced diabetic retinopathy model

Experiments were designed and conducted to assess the efficacy of the microemulsion containing masoprocol 0.302% (formulation 04) and of the microemulsion containing sorafenib tosylate 0.300% (formulation 05) in a model of the streptozotocin (STZ) -induced diabetic retinopathy in rat. To this end, Sprague-Dawley male rats (200-250 g) were injected with a single dose of STZ (60 mg/kg i.p.) and 24h later, the blood glucose was measured to include in the rest of the procedure only animals with glycaemia levels higher than 250 mg/dl. Starting from the day when the glycaemia was measured, the animals were treated for 21 days in both eyes b.i.d. and divided into the following treatment groups:

- negative control rats (ctrl-) and diabetic rats (STZ) treated with 12 ml of formulation 1 or formulation 2; and - diabetic rats treated with 12 ml of formulation 04 or formulation 05.

At the end of the treatment course, animals were sacrificed, the bulbs enucleated and the retinas processed for performing gene and protein

expression tests by Real Time RT-PCR and Western Blot, respectively.

Gene expression analysis by Real Time RT-PCR demonstrated that, when compared to STZ-treated animals, treatment with the microemulsion containing masoprocol 0.302% (formulation 04) (Figs. 19A-19F) or containing sorafenib tosylate 0.300% (formulation 05) (Figs. 19A-19F) significantly reduced the expression levels of the proinflammatory and pro-angiogenic genes analyzed (i.e. TNFa, NFKB, IGFl, IGF1R, VEGFR1 and VEGFR2).

Protein expression analysis by Western Blot showed that treatment with formulation 04 (Figs. 20A-D) or formulation 05 (Figs. 20E-H) significantly reduced the expression levels of TNFa, VEGFR1 and VEGFR2 compared to the retinas of the STZ-induced animals, thus confirming the anti-inflammatory and anti-angiogenic effect of both microemulsions formulated as described herein (Figs. 20A-H).

Example 15

Ocular tolerability in vivo

A long-term tolerability study was carried out on New Zealand White rabbits (NZW) to assess ocular tolerability over a 28-day topical repeated- treatment course of the following microemulsions: a) formulation 1, b) formulation 04, c) formulation 6, d) formulation 06, e) formulation 2, f) formulation 05, g) formulation 7, or h) formulation 07.

Forty-eight rabbits were used, 24 males and 24 females, weighing approximately 2 Kg, and randomized into 8 experimental groups, each of which was composed of 6 animals (3 males and 3 females). In order to mimic the human dosing regimen, 50 ml of the formulations or of the vehicle (Tris pH 7.4) were administered b.i.d. by instillation into the conjunctival sac of the right (treated) or left (vehicle) eye, respectively.

The tolerability of the microemulsions studied was determined by means of the Draize test modified by McDonald et al, 1987 (Eye irritation, in Dermatotoxicology, Ed. Marzulli and Maibach, Hemisphere Publishing

Corporation, 3rd Edition). Statistically significant differences were sought by means of General Linear Model analyses and unpaired t-test. Scores assigned using the modified Draize test did not evidence any difference among the sexes for any of the treatment groups.

Statistics show that there were no significant differences between the treated eye (right) and the control eye (left) in any of the treatment groups. There were no differences among microemulsion formulations containing the drugs (/.e., loaded microemulsions) and the relative vehicle (i.e. unloaded microemulsions).

The microemulsions based on vegetable and/or animal oils showed a better ocular tolerability profile than microemulsions comprising mineral oils of synthetic origin.

Example 16

Efficacy in a murine model of dry eye

A murine model of dry eye was used to establish the efficacy of the microemulsion containing masoprocol 0.302% (formulation 04), described in Example 6. To this end, C57BL/6 female mice (8 - 12 weeks old), were exposed for 3 days to a controlled environmental chamber (CEC) under low humidity (<20% RH; 21-22° C) and constant airflow (20 L/min). In addition to the environmental conditions, 5 mg/ml of scopolamine was injected subcutaneously three times a day for 3 days. At the same time, a group of negative control animals (CTRL-) were kept in standard environmental conditions (21-23 °C; 50- 60% RH).

Mice inside the CEC were divided into three groups: i) treated with formulation 1; ii) treated with formulation 04; and iii) un-treated positive control group (CTRL+). Seven microliters of the test items were instilled in both eyes twice daily for 3 days; animals outside the CEC, i.e. CTRL-, were left untreated for the entire duration of the study.

Fluorescein staining of the cornea was evaluated by slit lamp with a standardized grading system at baseline (t = 0) and after 3 days of treatment (T3), to evaluate the corneal damage. The animals were sacrificed at T3 and the cornea excised and preserved for further processing aimed at evaluating potential effects of the treatments on pro-inflammatory gene expression by Real Time RT-PCR.

Observations at T3 showed that corneal staining of CTRL+ mice was significantly worsened (p<0.0001) with respect to CTRL-. Treatment with formulation 1 did not produce any remarkable amelioration over CTRL+, while formulation 04 significantly reduced corneal score (p<0.05, vs CTRL+) (Fig. 21).

Analysis of gene expression showed that treatment with formulation 04 significantly reduced TNFa expression levels by 58% compared to CTRL+ animals (#p<0.05, vs CTRL+) (Fig. 22). The microemulsion containing masoprocol 0.302% (formulation 04) was effective in reducing ocular signs in a murine model of dry eye, a pathology of the ocular surface. Since modifications will be apparent to those of skill in this art, it is intended that this invention be limited only by the scope of the appended claims.

Claims

CLAIMS:

1. A pharmaceutical composition, comprising active ingredients for ophthalmic use in an oil-in-water microemulsion, comprising:

a) a lipid phase comprising an oily component and one or more surfactant(s) and, one or more co-surfactant(s), and

b) an aqueous phase comprising one or more surfactant(s), and one or more co-surfactants, wherein:

the pharmaceutically active compound is an ophthalmic drug;

the weight/volume ratio between the amount of surfactant and co surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 2 to 10;

the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.2 to 1.0; and

in the resulting oil-in-water microemulsion, the average particle size is less than 30 nm.

2. The composition of claim 1, wherein the size distribution of particles in the resulting microemulsion is 15 nm ± 10 nm.

3. The composition of claim 1 or claim 2, wherein the polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1.

4. The composition of any of claims 1-3, wherein the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive.

5. The composition of any of claims 1-4, wherein the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.22 to 0.98, inclusive or from 0.24 to 0.96, inclusive. 6. The composition of any of claims 1-5, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co-surfactant(s) is from 0.05 to 1.4, inclusive.

7. The composition of any of claims 1-6, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co-surfactant(s) is from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive.

8. A composition of any of claims 1-7, comprising:

an oil component in an amount that is between 0.4 - 4.0% (w/v), inclusive, of the composition;

surfactant(s) and co-surfactant(s) of the lipid phase in an amount that is between 4.0% - 36.0% (w/v), inclusive, of the composition; and

surfactant(s) and co-surfactant(s) of the aqueous phase in an amount that is between 1.66% - 4.15% (w/v), inclusive, of the composition.

9. An oil-in-water microemulsion composition, comprising:

an oil component in an amount of 0.4 - 4.0% weight/volume (w/v) of the composition;

a surfactant or a mixture of a surfactant(s) and co-surfactants(s) in an amount of 5.71-40.15% w/v, inclusive, of the composition;

an aqueous component that is in an amount between 55.85%-93.89% w/v, inclusive, of the composition; and

optionally a pharmaceutically active compound,

wherein:

all components of the composition are biocompatible; and

the average particle size in the microemulsion composition is less than 30 nm.

10. The composition of claim 9 that comprises a pharmaceutically active compound.

11. The composition of claim 1 and claim 10, wherein the amount of pharmaceutically active compound is 0.001 mg/ml to 50 mg/ml, or 0.01 mg/ml to 50 mg/ml.

12. The composition of claim 11, wherein the amount of

pharmaceutically active compound is 0.01 mg/ml to 30 mg/ml.

13. The composition of claim 1, wherein the particle size distribution is 15 ± 10 nm.

14. The composition of any of claims 9-13 that is formed from:

a lipid phase comprising the oily component, and one or more

surfactant(s), and optionally one or more co-surfactants(s); and

an aqueous phase comprising one or more surfactant(s), and one or more co-surfactants(s), wherein:

the weight/volume ratio between surfactant(s) and co-surfactants (s) in the lipid phase to surfactant(s) and co-surfactants (s) in the aqueous phase is from 2 to 10, inclusive; and

the weight/volume ratio between the oily component of the lipid phase and the surfactant(s) and co-surfactants in the aqueous phase is from 0.2 to 1.0, inclusive.

15. The composition of claim 14, wherein:

the weight/volume ratio between surfactant(s) and co-surfactants (s) in the lipid phase to the surfactant(s) and co-surfactants(s) in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive; and

the weight/volume ratio between the oily component in the lipid phase and the surfactant(s) and co-surfactants in the aqueous phase is from 0.22 to 0.98, inclusive, or from 0.24 to 0.96, inclusive.

16. The composition of any of claims 9-15, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co-surfactants(s) is from 0.05 to 1.4, inclusive.

17. The composition of claim 16, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co- surfactants(s) is from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive.

18. The composition of any of claims 1-12 that is formulated for treatment of ophthalmic conditions or disorders. 19. The composition of any of claims 1-18, wherein the HLB of each of the surfactants and co-surfactants is between 8-16, inclusive.

20. The composition of any of claims 1-18, wherein the HLB of each of the surfactants and co-surfactants at least 10.

21. The composition of any of claims 1-20, wherein the HLB of each of the surfactants and co-surfactants is 10-16, or 12-14.

22 The composition of claim any of claims 1-21, wherein the surfactant(s) and/or co-surfactant(s) is/are non-ionic.

23. The composition of any of claims 1-8 that contain one surfactant and a co-surfactant, or two surfactants and one co-surfactant, or two surfactants and two co-surfactants.

24. The composition of any of claims 1-23, wherein the surfactant in the lipid phase and the aqueous phase is the same.

25. The composition of any of claims 1-24, wherein the aqueous phase contains a surfactant and a co-surfactant, and the lipid phase contains a surfactant and a co-surfactant.

26. The composition of claim 25, wherein the surfactant in the aqueous and lipid phase is the same.

27. The composition of claim 25 or claim 26, wherein the surfactant in the aqueous and lipid phase is different.

28. The composition of any of claims 25-27, wherein the co-surfactant in the aqueous and lipid phase is the same.

29. The composition of any of claims 25-27, wherein the co-surfactant in the aqueous and lipid phase is different.

31. The composition of any of claims 1-29, wherein the surfactants are selected from among poloxamers, PEGylated fatty acids, polyoxyethylenes, polyoxyethylene sorbitan fatty acid derivatives, polyoxyethylenes, hydrogenated castor oil ethoxylates, glycerol esters of fatty acids, PEGylated fatty acids, polyoxyl castor oil surfactants, poloxamers, amine oxides, and alcohol

ethoxylates (nonionic). 32. The composition of any of claims 1-31, wherein the surfactants are selected from among polyethylene glycol sorbitan monolaurate (polysorbate 20; TWEEN 20), polyethylene glycol sorbitan monooleate (polysorbate 80; TWEEN 80), and polyethylene glycol sorbitan monopalmitate (polysorbate 40;

MONTANOX 40.

33. The microemulsion composition of claim 33, wherein the surfactants are selected from among polyoxyl 35 castor oil (CREMOPHOR EL, KOLLIPHOR EL), polyoxyl 40 hydrogenated castor oil (CREMOPHOR RH40;

KOLLIPHOR RH 40), PEG 40 castor oil (ETOCAS 40), PEG-60 hydrogenated castor oil (CRODURET 60), and polyethylene glycol 15-hydroxystearate (KOLLIPHOR HS 15).

34. The composition of any of claims 1-29, wherein the surfactants are non-ionic.

35. The composition of claim 34, wherein, in the aqueous phase, the surfactants are of a non-ionic type, selected from among Pluronic®,

Cremophor®, Kolliphor®, Polysorbates (Tween™), lauryl dimethyl ammine oxide, polyethoxylated alcohol, polyoxyl lauryl ether, Brij®, polyoxyethylated castor oil, lecithin, poloxamers, polyethylene glycol, glycerol esters of fatty acids.

36. The composition of claim 34, wherein, in the lipid phase, the surfactants are of a non-ionic type selected from among Pluronic®,

Cremophor®, Kolliphor®, Polysorbates (Tween™), lauryl dimethyl ammine oxide, polyethoxylated alcohol, polyoxyl lauryl ether, Brij®, polyoxyethylated castor oil, lecithin, poloxamers, polyethylene glycol, and glycerol esters of fatty acids.

37. The composition of any of claims 1-34, wherein the surfactants are selected from among castor oil or hydrogenated castor oil ethoxylates.

38. The microemulsion composition of any of claims 1-37, wherein the co-surfactant(s) is/are glycerol and/or propylene glycol.

39. The microemulsion composition of claim 38, wherein the cosurfactant propylene glycol and/or glycerol is/are from the aqueous phase, or is/are from the aqueous and lipid phase, or is/are from the lipid phase. 40. The composition of any of claims 1-39, comprising an oil selected from among one or more of vegetable or animal oils or synthetic mineral oils.

41. The composition of claim 40, wherein the oils are vegetable or animal oils selected from among soya oil, corn oil, linseed oil, sunflower seed oil, krill oil, cod-liver oil, fish oil, avocado oil, almond oil, babassu oil, borage oil, carob oil, cashew nut oil, grapeseed oil, coconut oil, oryza sativa bran oil, castor oil, hemp seed oil, jojoba oil, peanut oil, poppy seed oil, sesame oil, walnut oil, olive oil, wheat-germ oil, argan oil, cottonseed oil, blackcurrant seed oil, oils rich in PUFAs by a fraction greater than 10%.

42. The composition of claim 40, wherein the oils are mineral oils of synthetic origin selected from esters of medium and long-chain fatty acids, and medium and long-chain triglycerides.

43. The composition of any of claims 1-42, comprising one or more of an isotonizing (tonicity) agent, stabilizing agent, anti-oxidant, anti-microbial, thickening agent, and branched and linear polymers.

44. The composition of any of claims 1-43, comprising one or more pharmaceutically active ingredients.

45. The composition of claim 44, wherein the active ingredient is selected from among one or more , gastrointestinal agents, antispasmodics, blood sugar regulators, nutraceuticals/minerals/ electrolytes, platelet modifying agents, coagulants, cardiovascular agents, alpha-adrenergic agonists/ alpha- adrenergic antagonists/ vasodilators/ arterial vasodilators, carbonic anhydrase inhibitor diuretics/ loop diuretics/ potassium-sparing diuretics/ thiazide diuretics, other cardiovascular agents, beta-adrenergic antagonists, calcium channel blockers, angiotensin converting enzyme inhibitors (ACE),

dyslipidemics/ HMG CoA Reductase inhibitors (Statins), anti-fungals,

dermatological agents, anti-histamines, anesthetics, anti-bacterials, hormone- stimulating agents/ substituents/ modifiers (adrenals, pituitary and sex hormones), glycemic agents, hormone-suppressing agents (parathyroids), anti- mycobacterials, anti-virals, anti-neoplastics, immunomodulators, anti

inflammatory agents, analgesics, anti-convulsants, anti-Parkinson agents, anti- psychotics, anti-depressants/ anti-dementia agents/ anti-anxiety medication, anti-myasthenic agents/ agents for treating substances of abuse/ central nervous system agents, bronchodilators/ sympathomimetics/ anti-cholinergics/ inhaled corticosteroids/ phosphodiesterase inhibitors/ airborne disorders, other agents of the respiratory tract, anti-parasites, anti-glaucoma ophthalmic agents, other ophthalmic agents/ anti-allergic ophthalmic agents, ophthalmic anti inflammatories, prostaglandin analogues and ophthalmic prostamides, drugs for acidity-related disorders (A02), drugs for gastrointestinal function disorders (A03), drugs used for diabetes (A10), vitamins (A11), mineral supplements (A12), antithrombotic agents (B01), anti-hemorrhagics (B02), cardiac therapy drugs (C01), anti-hypertensives (C02), diuretics (C03), peripheral vasodilators (C04), vasoprotectives (C05), beta-blocking agents (C07), calcium-antagonists (C08), drugs acting on the renin-angiotensin system (C09), lipid-lowering drugs (C10), anti-fungals for dermatological use (D01), emollients and protectives (D02), drugs for injuries and ulcers (D03), antipruritics, including anti histamines, anaesthetics (D04), anti-psoriasis drugs (D05), antibiotics and chemotherapeutic agents for dermatological use (D06), antiseptics and disinfectants (D08), hyphophyseal, hypothalamic hormones and similar (H01), systemic corticosteroids (H02), thyroid therapy (H03), pancreatic hormones (H04), homeostatic calcium (H05), anti-bacterials for systemic use (J01), anti- mycotics for systemic use (J02), anti-mycobacterials (J04), anti-viral drugs for systemic use (J05), immune serums and immunoglobulins (J06), anti-neoplastic agents (L01), endocrine therapy (L02), immunostimulants (L03),

immunosuppressants (L04), anti-inflammatories and anti-rheumatics (M01), topical products for joint and muscle pain (M02), anesthetics (N01), analgesics (N02), anti-epileptics (N03), anti-parkinsonians (N04), psycholeptics (N05), psychoanaleptics (N06), other nervous system drugs (N07), rhinologic

preparations (R01), preparations for the pharyngeal cavity (R02), drugs for obstructive disorders of the respiratory tract (R03), preparations for coughs and colds (R05), anti-histamines for systemic use (R06), other preparations for the respiratory system (R07), anti-infectives (S01A), anti-inflammatory agents (S01B), anti-inflammatory agents and anti-infectives combined (S01C), anti glaucoma agents and miotics (S01E), mydriatics and cyclopegics (S01F), decongestants and anti-allergens (S01G), local anaesthetics (S01H), diagnostic agents (S01J), surgical aids (S01K), ocular vascular agents (S01L), anti-infectives (S03A), corticosteroids (S03B), and corticosteroids combined with anti- infectives combined (S03C).

46. The composition of any of claims 1-45 that is formulated for ophthalmic administration.

47. A composition of claim 44, where the one or more active ingredients are for treating ophthalmic disorders.

48. The composition of claim 46 or claim 47, wherein the disorders are selected from among dry eye, macular degeneration, glaucoma, infection, inflammation, allergy and diabetic retinopathy.

49. The composition of any of claims 46-48, wherein the active ingredient is a prostaglandin inhibitor, an anti-angiogenic, and an anti-oxidant.

50. The composition of claim 49, wherein the active ingredient is a prostaglandin inhibitor selected from among latanoprost, travoprost,

bimatoprost, unoprostone, and pharmaceutically acceptable derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof.

51. The composition of claim 49, wherein the active ingredient is an anti-angiogenic agent selected from among sorafenib, sorafenib tosylate, regorafenib, regorafenib tosylate, regorafenib isethionate, regorafenib, ethylsulfonate apremilast, radotinib, spironolactone, and pharmaceutically acceptable derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof.

52. The composition of claim 49, wherein the active ingredient is an anti-oxidant selected from among nordihydroguaiaretic acid, meso- nordihydroguaiaretic (masoprocol) and pharmaceutically acceptable derivatives, hydrates, solvates, metabolites and salts thereof, or a polymorphic crystalline form thereof.

53. The composition of any of claims 1-52, wherein the composition comprises one or more active ingredients at a concentration of from 0.01 to 50 mg/ml, inclusive, or 0.01 to 30 mg/ml.

54. A composition of any of claims 1-53, where the micellar dimension of the dispersed phase particles is approximately 15 ± 10 nm; and the

polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.380, or is less than 0.2 or less than 0.12 or less than 0.1.

55. A composition of any of claims 1-54, wherein the lipid phase contains Tween 80/propylene glycol as the surfactant/co-surfactant, and the aqueous phase contains Kolliphor RH40/propylene glycol.

56a. A composition of any of claims 1-55 for use for treating ophthalmic disorders.

56. Use of a composition of any of claims 1-55 for treating ophthalmic disorders.

57. A method of treatment of an ophthalmic disorder, comprising administering a composition of any of claims 1-55.

58. The use or method of any of claims 55-57, wherein the ophthalmic disorder or condition is dry eye, macular degeneration, glaucoma, infection, inflammation, allergy and diabetic retinopathy.

59. The use or method of claim 58, wherein the active agent in the microemulsion composition is masoprocol, sorafenib tosylate, and/or

latanoprost.

60. A method for preparing a microemulsion, comprising:

a) preparing the lipid phase, where a mixture of surfactants/co

surfactants is solubilized in oil, mixing from 1 to 10 parts of the mixture for each oil part;

b) preparing the aqueous phase, where one or more of a surfactant and/or co-surfactants is solubilized in water;

c) titrating the lipid phase with the aqueous phase to obtain

microemulsion, wherein:

0.4 - 4.0% (w/v) of the microemulsion is composed of the oil component of the lipid phase;

4.0% - 36.0% (w/v) of the microemulsion is composed of the

surfactants/co-surfactants of the lipid phase; and

1.66% - 4.15% (w/v) of the total surfactants/co-surfactants are the surfactants/co-surfactants of the aqueous phase.

61. A method for preparing a composition of any of claims 1-55, comprising:

a) preparing the lipid phase, which includes a pharmaceutically active agent, wherein a mixture of surfactants/co-surfactants is solubilized in oil, mixing from 1 to 10 parts of the mixture for each oil part;

b) preparing the aqueous phase, where one or more of a surfactant and/or co-surfactants is solubilized in water;

c) titrating the lipid phase with the aqueous phase to obtain a

microemulsion, wherein:

0.4 - 4.0% (w/v) of the microemulsion is composed of the oily

component of the lipid phase;

4.0% - 36.0% (w/v) of the microemulsion is composed of the

surfactants/co-surfactants of the lipid phase, and

1.66% - 4.15% (w/v) of the microemulsion is composed of

surfactants/co-surfactants of the aqueous phase.

62. The method of claim 60 or claim 61, wherein:

the titration rate is described by the following equation:

V_tit=titration speed in ml x min-1, k=2 ml x min-1, and V_tot=total volume of the formulation in ml.

63. The method of any of claims 60-62, wherein the dispersed particles in the resulting microemulsion have an average size < 30 nm

64. The method of any of claims 60-63, wherein the size distribution of the particles is 15 nm ±10 nm.

65. The method of any of claims 60-64, wherein the polydispersity index (PDI) is less than 0.380, or is within the range of 0.01-0.380, inclusive, or 0.01-0.20, inclusive, or 0.01 to 0.15, inclusive, or less than 0.2 or 0.1.

66. A microemulsion composition produced by the method of any of claims 60-64.

67. A method for preparing a microemulsion, comprising:

a) preparing a lipid phase comprising an oil component and one or more surfactant(s) and, one or more co-surfactant(s), and

b) an aqueous phase comprising one or more surfactant(s), and one or more co-surfactants, wherein:

the weight/volume ratio between the amount of surfactant and co surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is from 2 to 10;

the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.2 to 1.0; and

c) combining lipid phase with the aqueous phase to form an oil-in-water microemulsion in which the average particle size in the is less than 30 nm.

68. The method of claim 67, wherein the weight/volume ratio between the amount of surfactant and co-surfactant in the lipid phase to the amount of surfactant and co-surfactant in the aqueous phase is 2.2 to 9.8, inclusive, or 2.4 to 8.6, inclusive.

68a. The method of claim 67 or claim 68, wherein the aqueous phase contains one surfactant and one co-surfactant.

69. The method of claim 67, or claim 68, wherein the weight/volume ratio between the amount of oil component in the lipid phase to the amount of surfactant(s) and co-surfactant(s) in the aqueous phase is from 0.22 to 0.98, inclusive or from 0.24 to 0.96, inclusive.

70. The method of any of claims 67-69, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co- surfactant(s) is from 0.05 to 1.4, inclusive.

71. The method of any of claims 67-70, wherein, in the lipid phase, the weight/volume ratio between the oily component and the surfactant(s) and co- surfactant(s) is from 0.07 to 1.2, inclusive, or from 0.1 to 1, inclusive.

72. The method of any of claims 67-71, wherein the size distribution of particles in the resulting microemulsion is 15 nm ± 10 nm.

73. The method of any of claims 67-72, wherein the polydispersity index (PDI) is within the range 0.02-0.380, inclusive, or 0.02 to 0.2, inclusive, or 0.02 to 0.15, inclusive, or is less than 0.2 or less than 0.12 or less than 0.1.

74. The method of any of claims 67-73, wherein step c) comprises titrating the lipid phase with the aqueous phase.

75. The method of claim 74, wherein:

the titration rate is described by the following equation:

V_tit=titration speed in ml x min-1, k=2 ml x min-1, and V_tot=total volume of the formulation in ml.

76. A microemulsion composition prepared by the method of any of claims 67-75.

77. A composition of any of claims 1-55, prepared by the method of any of claims 67-75.